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Suprasellar Multiple Neurocysticercal Cyst Presenting with Visual Loss
Subhas Konar1, Mohammed Nadeem1, Dhaval Shukla1
1Department of Neurosurgery, NIMHANS, Bangalore, India.
World Neurosurgery
|April 14, 2024
Summary
Suprasellar cysticercosis, a rare brain infection, can cause vision loss and mimic other tumors. Surgical removal and antiparasitic treatment led to a full visual recovery in a recent case.
Area of Science:
- Neurology
- Infectious Diseases
- Ophthalmology
Background:
- Suprasellar cysticercosis is a rare parasitic infection of the brain, often presenting with visual disturbances and endocrine dysfunction.
- Radiologically, it can be mistaken for other suprasellar masses like craniopharyngioma or pituitary adenomas.
- This case highlights the diagnostic and therapeutic challenges of this uncommon condition.
Observation:
- A 34-year-old woman presented with progressive vision loss and visual field defects.
- Brain MRI revealed multiple cystic lesions in the suprasellar cistern, compressing the optic chiasm.
- Surgical excision of the cysts was performed, with intraoperative spillage of contents.
Findings:
- Histopathology confirmed cysticercal cysts without scolexes.
- The patient received a 6-week course of albendazole and a 3-week course of steroids.
- At 2-year follow-up, MRI showed complete cyst removal, and visual acuity improved to 6/6.
Implications:
- Early surgical intervention for suprasellar cysticercosis is safe and effective.
- Prompt diagnosis and treatment are crucial for favorable visual outcomes.
- This case underscores the importance of considering parasitic infections in the differential diagnosis of suprasellar masses.
