Imaging aspects of the racemose neurocysticercosis

Machado, Dequitier Carvalho; Camilo, Gustavo Bittencourt; Alves, Úrsula David; Oliveira, Celso Estevão de; Oliveira, Ricardo R.; Lopes, Agnaldo José

doi:10.5114/aoms.2015.56366

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…[ 10 18 ] This is not typically an issue with the racemose variant, as imaging typically shows a large multi-lobulated cystic lesion exerting mass effect and midline shift. [ 19 ] CT imaging may detect calcifications if the cysts are older and dormant, but is of little use to differentiate RNCC from other possible intracranial lesions. [ 18 19 ] MR imaging remains the modality of choice, as T2, FLAIR, and FIESTA sequences can more easily distinguish cysts within the subarachnoid space or ventricles.…”

Section: Discussionmentioning

confidence: 99%

“…[ 19 ] CT imaging may detect calcifications if the cysts are older and dormant, but is of little use to differentiate RNCC from other possible intracranial lesions. [ 18 19 ] MR imaging remains the modality of choice, as T2, FLAIR, and FIESTA sequences can more easily distinguish cysts within the subarachnoid space or ventricles. [ 6 18 19 ] Cyst walls may show contrast enhancement, but this is dependent on the amount of inflammation associated with the lesion, and may not enhance at all in dormant lesions with little associated inflammation.…”

Section: Discussionmentioning

confidence: 99%

“…[ 6 18 19 ] Cyst walls may show contrast enhancement, but this is dependent on the amount of inflammation associated with the lesion, and may not enhance at all in dormant lesions with little associated inflammation. [ 18 19 ]…”

Section: Discussionmentioning

confidence: 99%

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Treatment of racemose neurocysticercosis

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Ra²,

Bc³

et al. 2017

Surg Neurol Int

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Background:Neurocysticercosis (NCC) is a common parasitic infection of the central nervous system, caused by the tapeworm Taenia solium. It is endemic to certain parts of the world, including Central America, South America, Asia, and Africa. The racemose form, characterized by extraparenchymal location, increased morbidity and mortality, and large loculated cystic lesions, is rarely seen in industrialized countries, such as the United States. The management of racemose neurocysticercosis (RNCC) differs from that of the typical parenchymal variant. The ideal course of treatment is debated by experts, but typically includes either surgical intervention with subsequent medical therapy or medical therapy alone.Case Description:We present the case of a 34-year-old male diagnosed with RNCC and treated successfully with surgical cyst drainage, resection, and subsequent medical therapy.Conclusion:Currently, no standardized evidence-based protocol exists that dictate appropriate treatment for extraparenchymal or racemose NCC. We present a case of RNCC treated successfully with surgical and medical intervention. Further research encompassing well-designed clinical trials is necessary to delineate appropriate and standardized protocols for treatment of this disease.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Treatment of racemose neurocysticercosis

rd¹,

Ra²,

Bc³

et al. 2017

Surg Neurol Int

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Unexpected hosts: imaging parasitic diseases

et al. 2016

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Radiologists seldom encounter parasitic diseases in their daily practice in most of Europe, although the incidence of these diseases is increasing due to migration and tourism from/to endemic areas. Moreover, some parasitic diseases are still endemic in certain European regions, and immunocompromised individuals also pose a higher risk of developing these conditions. This article reviews and summarises the imaging findings of some of the most important and frequent human parasitic diseases, including information about the parasite’s life cycle, pathophysiology, clinical findings, diagnosis, and treatment. We include malaria, amoebiasis, toxoplasmosis, trypanosomiasis, leishmaniasis, echinococcosis, cysticercosis, clonorchiasis, schistosomiasis, fascioliasis, ascariasis, anisakiasis, dracunculiasis, and strongyloidiasis. The aim of this review is to help radiologists when dealing with these diseases or in cases where they are suspected. Teaching Points • Incidence of parasitic diseases is increasing due to migratory movements and travelling. • Some parasitic diseases are still endemic in certain regions in Europe. • Parasitic diseases can have complex life cycles often involving different hosts. • Prompt diagnosis and treatment is essential for patient management in parasitic diseases. • Radiologists should be able to recognise and suspect the most relevant parasitic diseases.

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