Uncommon Clinical Manifestations of Cysticercosis

Sibat, Humberto Foyaca; Valdés, Lourdes de Fátima Ibañez

doi:10.5772/53078

Cited by 2 publications

(1 citation statement)

References 220 publications

(230 reference statements)

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“…[4,5,10] In this case, we present vision loss and endocrinological disturbances as the prime symptoms which can be explained by the variety of pathologies, the most common being direct invasion of the sellar region by cysts with compression of optic chiasma and the pituitary stalk or the hypophysis itself or caused by opticochiasmatic arachnoiditis. [4,7,11] Computed tomography and MRI diagnose NCC in its different stages. [1,12,13] However, intrasellar/suprasellar NCC is difficult to be diagnosed by MRI due to the absence of the scolex.…”

Section: Discussionmentioning

confidence: 99%

A case of sellar/suprasellar neurocysticercosis mimicking a craniopharyngioma

et al. 2021

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Neurocysticercosis (NCC) commonly presents with seizures in developing countries such as Nepal. It may also present with raised intracranial pressure due to obstructive hydrocephalus when cyst is located in the fourth ventricle or foramen of Monro. There are four main stages of NCC (1) Vesicular, (2) Colloidal vesicular, (3) Granular nodular, and (4) Nodular calcified. The colloidal vesicular stages can cause arachnoiditis and thus can cause hydrocephalus whereas obstructive hydrocephalus is usually caused by racemose type of NCC. This case was a suprasellar cyst mimicking craniopharyngioma, supported with clinical history of poor visual acuity, endocrine abnormality, suggested radiological findings by computed tomography scan, and magnetic resonance imaging. Suprasellar NCC was confirmed only by intraoperative findings and histopathology report.

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Section: Discussionmentioning

confidence: 99%

A case of sellar/suprasellar neurocysticercosis mimicking a craniopharyngioma

et al. 2021

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Subarachnoid Cysticercosis and Ischaemic Stroke in Epileptic Patients

Foyaca-Sibat¹,

Valdés²

2018

Seizures

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Whether subarachnoid neurocysticercosis (SNCC) induces ischaemic stroke (IS) in epileptic patients is not yet confirmed because only short-case series and anecdotal case reports have been published, and no observational studies exist in the literature to date. Our main goals are: to estimate the prevalence of ischaemic stroke in epileptic patients presenting with SNCC and stroke frequency among HIV-positive patients in three subgroups; to determine if the odds of ischaemic stroke are elevated in SNCCepileptic patients compared to epileptic patients with intraparenchymal NCC (INCC); to determine whether the risk for stroke is elevated in HIV-seropositive patients presenting with SNCC or INCC and epilepsy; and to evaluate if and when the potential interaction varies by location of NCC in the brain (intraparenchymal or subarachnoid). Eligible epileptic patients' seropositive status was recorded, and cross-associations for the independent variables (NCC status and HIV status) and outcome variables (ischaemic stroke event) were performed. Compared to the reference group, the odds of IS in PLWNCC were 2.0 and 2.6 times greater in patients with SNCC and INCC, respectively. The frequency of IS was greater in HIV-positive patients in all three groups, but the risk was especially pronounced when seropositive epileptic patients were both NCC groups when compared with the reference group. Subarachnoid NCC increased the risk of IS three time more.

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Uncommon Clinical Manifestations of Cysticercosis

Cited by 2 publications

References 220 publications

A case of sellar/suprasellar neurocysticercosis mimicking a craniopharyngioma

A case of sellar/suprasellar neurocysticercosis mimicking a craniopharyngioma

Subarachnoid Cysticercosis and Ischaemic Stroke in Epileptic Patients

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