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Endoscopic Approach for Colloid Cyst Resection
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Intraventricular neurocysticercosis.

Veena Kalra1, Devendra Mishra, Ashish Suri

  • 1Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India. kalra_veena@hotmail.com

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Neurocysticercosis, a common parasitic brain disease, can cause rare complications like meningitis and intraventricular cysts. Early diagnosis through CSF examination is crucial to prevent severe outcomes like hydrocephalus.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Parasitology

Background:

  • Neurocysticercosis is the most frequent parasitic disease affecting the central nervous system globally.
  • Cysticercal meningitis and intraventricular lesions are uncommon manifestations, particularly in the Indian subcontinent.

Observation:

  • A case of a young Indian female with initially undiagnosed cysticercal meningitis is presented.
  • The patient subsequently developed unilateral hydrocephalus due to an intraventricular cyst obstructing the Foramen of Monroe.

Findings:

  • The case highlights the potential for delayed diagnosis of cysticercal meningitis.
  • Intraventricular cysts can lead to significant complications such as obstructive hydrocephalus.

Implications:

  • Emphasizes the importance of cerebrospinal fluid (CSF) examination, including Wright-Giemsa staining, for detecting CSF eosinophilia.
  • Suggests increased vigilance for neurocysticercosis in endemic regions, even with atypical presentations, to ensure timely intervention and prevent severe neurological deficits.