Racemose neurocysticercosis

Racemose neurocysticercosis refers to the ‘aberrant proliferating cestode larvae” presenting as multiple, non-capsulated cystic membranes that bud exogenously giving a multilocular cystic appearance resembling a ‘bunch of grapes’. These are typically located in non-confining areas of brain such as c...

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Bibliographic Details
Main Authors: Arushi G. Saini, Sameer Vyas, Pratibha Singhi
Format: Article
Language:English
Published: Elsevier 2017-11-01
Series:Journal of Infection and Public Health
Online Access:http://www.sciencedirect.com/science/article/pii/S1876034117300345
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Summary:Racemose neurocysticercosis refers to the ‘aberrant proliferating cestode larvae” presenting as multiple, non-capsulated cystic membranes that bud exogenously giving a multilocular cystic appearance resembling a ‘bunch of grapes’. These are typically located in non-confining areas of brain such as cisterns and lack scolex, contrast-enhancement or edema. We describe a 12-year-old boy with acute-onset headache, vomiting, drowsiness and irrelevant speech, irritability, meningismus, brisk muscle-stretch-reflexes and Babinski’s sign. Magnetic resonance imaging brain revealed racemose neurocysticercosis. He received ventriculo-peritoneal shunt, oral corticosteroids and albendazole for 4 weeks. Racemose cysts in neurocysticercosis are a rare presentation in children. Treatment is difficult.Racemose neurocysticercosis refers to the ‘aberrant proliferating cestode larvae” presenting as multiple, non-capsulated cystic membranes that bud exogenously giving a multilocular cystic appearance resembling a ‘bunch of grapes’. These are typically located in non-confining areas of brain such as cisterns and lack scolex, contrast-enhancement or edema. We describe a 12-year-old boy with acute-onset headache, vomiting, drowsiness and irrelevant speech, irritability, meningismus, brisk muscle-stretch-reflexes and Babinski’s sign. Magnetic resonance imaging brain revealed racemose neurocysticercosis. He received ventriculo-peritoneal shunt, oral corticosteroids and albendazole for 4 weeks. Racemose cysts in neurocysticercosis are a rare presentation in children. Treatment is difficult. Keywords: Racemose, Neurocysticercosis, Intraventricular, Hydrocephalus
ISSN:1876-0341