Indian Journal of Neurosurgery 2016; 05(02): 117-119
DOI: 10.1055/s-0036-1581973
Case Report
Thieme Medical and Scientific Publishers Private Ltd.

Racemose Neurocysticercosis Masquerading High-Grade Glial Neoplasm: A Rarest Presentation of Common Disease

Rakesh Kumar
1   Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh, India
,
Deepak Kumar Singh
2   Department of Neurosurgery, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
,
Neha Singh
3   Department of Radiodiagnosis, King George's Medical University, Lucknow, Uttar Pradesh, India
› Institutsangaben
Weitere Informationen

Publikationsverlauf

05. Januar 2016

14. Januar 2016

Publikationsdatum:
14. Juli 2016 (online)

Abstract

We are presenting a case of racemose neurocysticercosis presented with symptoms of increased intracranial pressure and radiologically mimicking high-grade glioma, which was managed surgically with good recovery. Neurocysticercosis is the commonest parasitic disease of the human nervous system having pleomorphic clinical manifestations, which depend on the location, number, and stage of the cysts at presentation. Atypical presentation of cerebral cysticercosis may mimic glioma and may be difficult to differentiate from neoplastic condition. Differ from the usual medical management, they may require urgent surgical intervention.

 
  • References

  • 1 Alsina GA, Johnson JP, McBride DQ, Rhoten PR, Mehringer CM, Stokes JK. Spinal neurocysticercosis. Neurosurg Focus 2002; 12 (6) e8
  • 2 Brutto Del OH, Sotelo J, Roman G. Neurocysticercosis: A Clinical Handbook. Lisse: Swets & Zeitlinger; 1998
  • 3 Sabel M, Neuen-Jacob E, Vogt C, Weber F. Intracerebral neurocysticercosis mimicking glioblastoma multiforme: a rare differential diagnosis in Central Europe. Neuroradiology 2001; 43 (3) 227-230
  • 4 Sinha S, Sharma BS. Neurocysticercosis: a review of current status and management. J Clin Neurosci 2009; 16 (7) 867-876
  • 5 Del Brutto OH, Rajshekhar V, White Jr AC , et al. Proposed diagnostic criteria for neurocysticercosis. Neurology 2001; 57 (2) 177-183
  • 6 Rajshekhar V, Haran RP, Prakash S, Chandy MJ. Differentiating solitary small cysticercus granuloma and tuberculomas in patients with epilepsy. Clinical and computerized tomographic criteria. J Neurosurg 1993; 78 (3) 402-407
  • 7 Wilson M, Bryan RT, Fried JA , et al. Clinical evaluation of the cysticercosis enzyme-linked immunoelectrotransfer blot in patients with neurocysticercosis. J Infect Dis 1991; 164 (5) 1007-1009
  • 8 García HH, Evans CA, Nash TE , et al. Current consensus guidelines for treatment of neurocysticercosis. Clin Microbiol Rev 2002; 15 (4) 747-756
  • 9 Colli BO, Martelli N, Assirati Júnior JA , et al. Cysticercosis of the central nervous system. I. Surgical treatment of cerebral cysticercosis: a 23 years experience in the Hospital das Clínicas of Ribeirão Preto Medical School. Arq Neuropsiquiatr 1994; 52 (2) 166-186