Neurocysticercosis mimicking craniopharyngioma: A case report
Key Clinical Message In patients with appropriate epidemiological risk factors, neurocysticecosis should be considered as part of the differential diagnosis of suprasellar or parasellar mass lesions. As neuroimaging findings can be nonspecific, serology may be helpful, but when still in doubt, brain...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-12-01
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| Series: | Clinical Case Reports |
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| Online Access: | https://doi.org/10.1002/ccr3.8166 |
| _version_ | 1797372047643377664 |
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| author | Aliya F. Rehman Alex F. Lazo‐Vasquez Parjanya K. Bhatt Tanya Quiroz Joelle‐Ann Joseph Sibel Gultekin Nadine Montreuil Candice A. Sternberg Folusakin Ayoade |
| author_facet | Aliya F. Rehman Alex F. Lazo‐Vasquez Parjanya K. Bhatt Tanya Quiroz Joelle‐Ann Joseph Sibel Gultekin Nadine Montreuil Candice A. Sternberg Folusakin Ayoade |
| author_sort | Aliya F. Rehman |
| collection | DOAJ |
| description | Key Clinical Message In patients with appropriate epidemiological risk factors, neurocysticecosis should be considered as part of the differential diagnosis of suprasellar or parasellar mass lesions. As neuroimaging findings can be nonspecific, serology may be helpful, but when still in doubt, brain biopsy, and histopathology may be necessary to make the correct diagnosis. Abstract Neurocysticercosis (NCC) is a well‐documented central nervous system helminth infection that is, frequently observed in developing countries. Known sites of NCC infection include the highly vascular gray‐white matter junction, basal cistern, brain parenchyma, subarachnoid space, ventricular system, and spinal cord. This case highlights an uncommon yet intriguing site of NCC infection within the suprasellar area, which presented with similar clinical and imaging characteristics as suprasellar masses or lesions. The 44‐year‐old female initially complained of headaches and nausea that persisted for 5 years and progressed to vision problems and short‐term memory loss. A craniopharyngioma was initially suspected, based on imaging findings of a partially calcified suprasellar tumor. However, cysticercosis was confirmed by histopathology and serological testing positive for Cysticercus IgG antibodies. The patient was successfully treated with albendazole and tapering doses of steroids, which improved her presenting symptoms and resolved prior imaging findings. This case serves as a reminder to consider NCC in the differential diagnosis of sellar and suprasellar masses or lesions, particularly when an epidemiologic risk factor is present. |
| first_indexed | 2024-03-08T18:30:49Z |
| format | Article |
| id | doaj.art-76c7dfb2289241c2b3a13a84d652eef0 |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-03-08T18:30:49Z |
| publishDate | 2023-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-76c7dfb2289241c2b3a13a84d652eef02023-12-30T04:35:09ZengWileyClinical Case Reports2050-09042023-12-011112n/an/a10.1002/ccr3.8166Neurocysticercosis mimicking craniopharyngioma: A case reportAliya F. Rehman0Alex F. Lazo‐Vasquez1Parjanya K. Bhatt2Tanya Quiroz3Joelle‐Ann Joseph4Sibel Gultekin5Nadine Montreuil6Candice A. Sternberg7Folusakin Ayoade8Jackson Health System Miami Florida USAAtlantic Health System Morristown New Jersey USAB.J. Medical College Ahmedabad IndiaJackson Health System Miami Florida USAUniversity of Miami Miller School of Medicine Miami Florida USAJackson Health System Miami Florida USAUniversity of Miami Miller School of Medicine Miami Florida USAUniversity of Miami Miller School of Medicine Miami Florida USAUniversity of Miami Miller School of Medicine Miami Florida USAKey Clinical Message In patients with appropriate epidemiological risk factors, neurocysticecosis should be considered as part of the differential diagnosis of suprasellar or parasellar mass lesions. As neuroimaging findings can be nonspecific, serology may be helpful, but when still in doubt, brain biopsy, and histopathology may be necessary to make the correct diagnosis. Abstract Neurocysticercosis (NCC) is a well‐documented central nervous system helminth infection that is, frequently observed in developing countries. Known sites of NCC infection include the highly vascular gray‐white matter junction, basal cistern, brain parenchyma, subarachnoid space, ventricular system, and spinal cord. This case highlights an uncommon yet intriguing site of NCC infection within the suprasellar area, which presented with similar clinical and imaging characteristics as suprasellar masses or lesions. The 44‐year‐old female initially complained of headaches and nausea that persisted for 5 years and progressed to vision problems and short‐term memory loss. A craniopharyngioma was initially suspected, based on imaging findings of a partially calcified suprasellar tumor. However, cysticercosis was confirmed by histopathology and serological testing positive for Cysticercus IgG antibodies. The patient was successfully treated with albendazole and tapering doses of steroids, which improved her presenting symptoms and resolved prior imaging findings. This case serves as a reminder to consider NCC in the differential diagnosis of sellar and suprasellar masses or lesions, particularly when an epidemiologic risk factor is present.https://doi.org/10.1002/ccr3.8166craniopharyngiomaCysticercus or Taenia soliumneurocysticercosissuprasellar mass |
| spellingShingle | Aliya F. Rehman Alex F. Lazo‐Vasquez Parjanya K. Bhatt Tanya Quiroz Joelle‐Ann Joseph Sibel Gultekin Nadine Montreuil Candice A. Sternberg Folusakin Ayoade Neurocysticercosis mimicking craniopharyngioma: A case report Clinical Case Reports craniopharyngioma Cysticercus or Taenia solium neurocysticercosis suprasellar mass |
| title | Neurocysticercosis mimicking craniopharyngioma: A case report |
| title_full | Neurocysticercosis mimicking craniopharyngioma: A case report |
| title_fullStr | Neurocysticercosis mimicking craniopharyngioma: A case report |
| title_full_unstemmed | Neurocysticercosis mimicking craniopharyngioma: A case report |
| title_short | Neurocysticercosis mimicking craniopharyngioma: A case report |
| title_sort | neurocysticercosis mimicking craniopharyngioma a case report |
| topic | craniopharyngioma Cysticercus or Taenia solium neurocysticercosis suprasellar mass |
| url | https://doi.org/10.1002/ccr3.8166 |
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