Neurocisticercosis intraventricular. Presentación de un caso localizado en el tercer ventrículo

Uncommon Clinical Manifestations of Cysticercosis

“…The diagnosis of certainty is achieved by methods of neuroimaging, particularly the nuclear magnetic resonance imaging (MRI), which is also indispensable as prior checking to surgery, the choice of treatment and assessment of the response to the same. [80][81][82] Some reports related to the clinical characteristics and the management of this entity confirm their increasing frequency in countries such as the Unite States of America. [83,84] In 1906, Ludwig Bruns described a phenomenon characterized by sudden headache associated with acute vestibular syndrome, triggered by sudden movements of the head, or, at times, it could have a disastrous outcome, by leading to coma and even death.…”

“…Variations in the number, volume and involution of the Ct, the secondary reactions, the eventual hydrocephalus, as well as the low number of patients who have this form of presentation, make it unlikely to carried out randomized clinical trials with an acceptable confidence. [94] On the other hand, Ramirez-Ceballos and Marquez [97] argue that the NCCIv requires an individualized treatment, medical, surgical, or a combination of both and in their experience Iv neuroendoscopic has provided a good surgical approach allowing to explore properly the ventricular cavities with either the rigid or flexible endoscope. According to these authors, this treatment improves the prognosis and clinical course of patients, since in most of them it avoids the placement of derivatives systems and in those cases that require, decreases the risk of re-surgical interventions.…”

“…Patients presenting intraventricular NCC (IvNCC) can have a different clinical presentation if they are HIV positive [2,3], although they have in common that the diagnosis must be confirmed by MRI as other have also pointed outr. [80,97,98] Should be emphasized that in HIV patients must be ruled out the presence an associated chronic meningitis by favoring the ventricular dilatation, (See figure 3) and in which case the serial lumbar punctures should be assessed carefully. The ABZ is the drug of choice, [2,3] if removal of the Ct by endoscopic is not possible.…”

Imaging features of neurocysticercosis: analysis of consecutive 57 patients in 5 years

“…The lesions are most commonly seen in the lateral ventricle and 4 th ventricle, but rarely found in the 3 rd ventricle (1,8,11,12). The cysticerci located in the fourth ventricle are often big in size, and sometimes can occupy the whole 4 th ventricle.…”