Neurocysticercosis presenting as a locked-in lateral ventricle: A case report and evidence-based review
Human neurocysticercosis is one of the most prevalent parasitic infestations of the central nervous system. It is considered the most frequent underlying etiology of acquired epilepsy in endemic areas in Central and South America, East Europe, Africa, and Asia, with over 50 million people affected g...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | IDCases |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214250923001026 |
| _version_ | 1797809864270938112 |
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| author | Moustafa A. Mansour Mohamed Tahir Zarina Ahmadi |
| author_facet | Moustafa A. Mansour Mohamed Tahir Zarina Ahmadi |
| author_sort | Moustafa A. Mansour |
| collection | DOAJ |
| description | Human neurocysticercosis is one of the most prevalent parasitic infestations of the central nervous system. It is considered the most frequent underlying etiology of acquired epilepsy in endemic areas in Central and South America, East Europe, Africa, and Asia, with over 50 million people affected globally. Ventricular involvement is a severe form of neurocysticercosis commonly manifests as arachnoiditis, raised intracranial pressure, or hydrocephalus, secondary to CSF flow obstruction of the ventricular system by cysts of Taenia solium, hence requiring prompt, aggressive intervention to alleviate the increased intracranial pressure to prevent imminent lethal complications. Ventricular neurocysticercosis can involve any brain ventricle but with a paramount preference for the fourth ventricle, causing non-communicating hydrocephalus and symmetric ventriculomegaly. However, in this clinical report, we present an uncommon case of trapped (locked-in) lateral ventricle caused by an isolated cysticercus trapped at the ipsilateral foramen of Monro, which is an atypical location for neurocysticercosis, adding more challenges to diagnosis and during the process of surgical extraction. We additionally provide a comprehensive, evidence-based review of the clinical course and management options relevant to the entity of ventricular neurocysticercosis, besides recent relevant clinical updates. |
| first_indexed | 2024-03-13T06:59:19Z |
| format | Article |
| id | doaj.art-a81ee373ca0b4709b49a713d2a3ca499 |
| institution | Directory Open Access Journal |
| issn | 2214-2509 |
| language | English |
| last_indexed | 2024-03-13T06:59:19Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IDCases |
| spelling | doaj.art-a81ee373ca0b4709b49a713d2a3ca4992023-06-07T04:48:14ZengElsevierIDCases2214-25092023-01-0132e01778Neurocysticercosis presenting as a locked-in lateral ventricle: A case report and evidence-based reviewMoustafa A. Mansour0Mohamed Tahir1Zarina Ahmadi2Department of Neurology and Neurologic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt; Department of Neurology and Neurologic Surgery, Mayo Clinic, Rochester, MN, USA; Division of Neuro-Intensive Care, Dar Al-Fouad Medical Corporation, Cairo, Egypt; Department of Emergency Medicine and Critical Care, Faculty of Medicine, Al-Azhar University, Cairo, Egypt; Corresponding author at: Department of Neurology and Neurologic Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.Department of Emergency Medicine and Critical Care, Faculty of Medicine, Al-Azhar University, Cairo, Egypt; Department of Diagnostic and Interventional Radiology, Faculty of Medicine, Al-Azhar University, Cairo, EgyptDepartment of Infectious Diseases and Tropical Medicine, Faculty of Medicine, Al-Azhar University, Cairo, Egypt; Department of Internal Medicine, Faculty of Medicine, Al-Azhar University, Cairo, EgyptHuman neurocysticercosis is one of the most prevalent parasitic infestations of the central nervous system. It is considered the most frequent underlying etiology of acquired epilepsy in endemic areas in Central and South America, East Europe, Africa, and Asia, with over 50 million people affected globally. Ventricular involvement is a severe form of neurocysticercosis commonly manifests as arachnoiditis, raised intracranial pressure, or hydrocephalus, secondary to CSF flow obstruction of the ventricular system by cysts of Taenia solium, hence requiring prompt, aggressive intervention to alleviate the increased intracranial pressure to prevent imminent lethal complications. Ventricular neurocysticercosis can involve any brain ventricle but with a paramount preference for the fourth ventricle, causing non-communicating hydrocephalus and symmetric ventriculomegaly. However, in this clinical report, we present an uncommon case of trapped (locked-in) lateral ventricle caused by an isolated cysticercus trapped at the ipsilateral foramen of Monro, which is an atypical location for neurocysticercosis, adding more challenges to diagnosis and during the process of surgical extraction. We additionally provide a comprehensive, evidence-based review of the clinical course and management options relevant to the entity of ventricular neurocysticercosis, besides recent relevant clinical updates.http://www.sciencedirect.com/science/article/pii/S2214250923001026NeurocysticercosisHydrocephalusLocked-in ventricleCNS infectionsParasitic infestationCase report |
| spellingShingle | Moustafa A. Mansour Mohamed Tahir Zarina Ahmadi Neurocysticercosis presenting as a locked-in lateral ventricle: A case report and evidence-based review IDCases Neurocysticercosis Hydrocephalus Locked-in ventricle CNS infections Parasitic infestation Case report |
| title | Neurocysticercosis presenting as a locked-in lateral ventricle: A case report and evidence-based review |
| title_full | Neurocysticercosis presenting as a locked-in lateral ventricle: A case report and evidence-based review |
| title_fullStr | Neurocysticercosis presenting as a locked-in lateral ventricle: A case report and evidence-based review |
| title_full_unstemmed | Neurocysticercosis presenting as a locked-in lateral ventricle: A case report and evidence-based review |
| title_short | Neurocysticercosis presenting as a locked-in lateral ventricle: A case report and evidence-based review |
| title_sort | neurocysticercosis presenting as a locked in lateral ventricle a case report and evidence based review |
| topic | Neurocysticercosis Hydrocephalus Locked-in ventricle CNS infections Parasitic infestation Case report |
| url | http://www.sciencedirect.com/science/article/pii/S2214250923001026 |
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