Non-communicating hydrocephalus from pork tapeworm obstructing the foramina of Monro and its endoscopic management; a case report from Europe
Introduction: Taenia solium is the main causative agent of neurocysticercosis. The tapeworm can manifest inside the ventricles, usually in the form of intracranial hypertension. We present a case of hydrocephalus as a result of a neurocysticercosis lesion obstructing both foramina of Monro. Research...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Brain and Spine |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772529422000078 |
| _version_ | 1797977757547757568 |
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| author | F. Hamre, MD, MSc G. Rodríguez-Boto, MD, PhD, MSc E. Tejerina, MD, PhD E. Muñez, MD A. Zamarrón, MD R. Gutiérrez-González, MD, PhD, MSc |
| author_facet | F. Hamre, MD, MSc G. Rodríguez-Boto, MD, PhD, MSc E. Tejerina, MD, PhD E. Muñez, MD A. Zamarrón, MD R. Gutiérrez-González, MD, PhD, MSc |
| author_sort | F. Hamre, MD, MSc |
| collection | DOAJ |
| description | Introduction: Taenia solium is the main causative agent of neurocysticercosis. The tapeworm can manifest inside the ventricles, usually in the form of intracranial hypertension. We present a case of hydrocephalus as a result of a neurocysticercosis lesion obstructing both foramina of Monro. Research question: A comprehensive review of the management is provided, as well as video footage (an invaluable resource to compare, critique and learn with other institutions). Material and methods: A 23-year-old female from Honduras presented with a 7-day complaint of headache. On exam, she was hyperreflexic, but otherwise normal. Magnetic resonance imaging (MRI) revealed a non-specific lesion at the level of the foramina of Monro, with associated hydrocephalus. Additional testing was normal. Results: The patient underwent an endoscopic ventriculoscopy with partial excision of the lesion and subsequent implantation of a ventriculoperitoneal shunt. On postoperative MRI, hydrocephalus resolved and pathological analysis identified the parasite as Taenia solium. Albendazole was administered for 14 days. Discussion and conclusion: Neurocysticercosis should be considered in patients presenting with hydrocephalus, especially those from endemic areas. The long-term prognosis of ventricular neurocysticercosis might be favourable, provided that adequate care is given timely. Endoscopic surgery seems to be effective for the removal of parasitic lesions. However, studies comparing open versus endoscopic surgery are lacking. The majority of cases in the literature correspond to America and Asia. This case shows that neurocysticercosis is also present in Europe, and that a high index of suspicion is necessary. |
| first_indexed | 2024-04-11T05:12:04Z |
| format | Article |
| id | doaj.art-a2285f742e7f4a968a5b6f5bb3c86d6a |
| institution | Directory Open Access Journal |
| issn | 2772-5294 |
| language | English |
| last_indexed | 2024-04-11T05:12:04Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brain and Spine |
| spelling | doaj.art-a2285f742e7f4a968a5b6f5bb3c86d6a2022-12-25T04:19:59ZengElsevierBrain and Spine2772-52942022-01-012100866Non-communicating hydrocephalus from pork tapeworm obstructing the foramina of Monro and its endoscopic management; a case report from EuropeF. Hamre, MD, MSc0G. Rodríguez-Boto, MD, PhD, MSc1E. Tejerina, MD, PhD2E. Muñez, MD3A. Zamarrón, MD4R. Gutiérrez-González, MD, PhD, MSc5Department of Neurosurgery. Puerta de Hierro University Hospital, Joaquin Rodrigo 2, 28222, Madrid, SpainDepartment of Neurosurgery. Puerta de Hierro University Hospital, Joaquin Rodrigo 2, 28222, Madrid, Spain; Department of Surgery, Faculty of Medicine, Autonomous University of Madrid, Arzobispo Morcillo 4, 28029, Madrid, SpainDepartment of Pathological Anatomy Puerta de Hierro University Hospital, Joaquin Rodrigo 2, 28222, Madrid, SpainDepartment of Infectious Diseases, Puerta de Hierro University Hospital, Joaquin Rodrigo 2, 28222, Madrid, SpainDepartment of Neurosurgery. Puerta de Hierro University Hospital, Joaquin Rodrigo 2, 28222, Madrid, SpainDepartment of Neurosurgery. Puerta de Hierro University Hospital, Joaquin Rodrigo 2, 28222, Madrid, Spain; Department of Surgery, Faculty of Medicine, Autonomous University of Madrid, Arzobispo Morcillo 4, 28029, Madrid, Spain; Corresponding author. Department of Neurosurgery. Puerta de Hierro University Hospital, Joaquin Rodrigo 2, 28222, Madrid, Spain.Introduction: Taenia solium is the main causative agent of neurocysticercosis. The tapeworm can manifest inside the ventricles, usually in the form of intracranial hypertension. We present a case of hydrocephalus as a result of a neurocysticercosis lesion obstructing both foramina of Monro. Research question: A comprehensive review of the management is provided, as well as video footage (an invaluable resource to compare, critique and learn with other institutions). Material and methods: A 23-year-old female from Honduras presented with a 7-day complaint of headache. On exam, she was hyperreflexic, but otherwise normal. Magnetic resonance imaging (MRI) revealed a non-specific lesion at the level of the foramina of Monro, with associated hydrocephalus. Additional testing was normal. Results: The patient underwent an endoscopic ventriculoscopy with partial excision of the lesion and subsequent implantation of a ventriculoperitoneal shunt. On postoperative MRI, hydrocephalus resolved and pathological analysis identified the parasite as Taenia solium. Albendazole was administered for 14 days. Discussion and conclusion: Neurocysticercosis should be considered in patients presenting with hydrocephalus, especially those from endemic areas. The long-term prognosis of ventricular neurocysticercosis might be favourable, provided that adequate care is given timely. Endoscopic surgery seems to be effective for the removal of parasitic lesions. However, studies comparing open versus endoscopic surgery are lacking. The majority of cases in the literature correspond to America and Asia. This case shows that neurocysticercosis is also present in Europe, and that a high index of suspicion is necessary.http://www.sciencedirect.com/science/article/pii/S2772529422000078Case reportEndoscopic third ventriculoscopyHydrocephalusNeurocysticercosisVentriculoperitoneal shunt |
| spellingShingle | F. Hamre, MD, MSc G. Rodríguez-Boto, MD, PhD, MSc E. Tejerina, MD, PhD E. Muñez, MD A. Zamarrón, MD R. Gutiérrez-González, MD, PhD, MSc Non-communicating hydrocephalus from pork tapeworm obstructing the foramina of Monro and its endoscopic management; a case report from Europe Brain and Spine Case report Endoscopic third ventriculoscopy Hydrocephalus Neurocysticercosis Ventriculoperitoneal shunt |
| title | Non-communicating hydrocephalus from pork tapeworm obstructing the foramina of Monro and its endoscopic management; a case report from Europe |
| title_full | Non-communicating hydrocephalus from pork tapeworm obstructing the foramina of Monro and its endoscopic management; a case report from Europe |
| title_fullStr | Non-communicating hydrocephalus from pork tapeworm obstructing the foramina of Monro and its endoscopic management; a case report from Europe |
| title_full_unstemmed | Non-communicating hydrocephalus from pork tapeworm obstructing the foramina of Monro and its endoscopic management; a case report from Europe |
| title_short | Non-communicating hydrocephalus from pork tapeworm obstructing the foramina of Monro and its endoscopic management; a case report from Europe |
| title_sort | non communicating hydrocephalus from pork tapeworm obstructing the foramina of monro and its endoscopic management a case report from europe |
| topic | Case report Endoscopic third ventriculoscopy Hydrocephalus Neurocysticercosis Ventriculoperitoneal shunt |
| url | http://www.sciencedirect.com/science/article/pii/S2772529422000078 |
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