Scolex on the Brain: Intraventricular Neurocysticercosis

Neurocysticercosis is a parasitic infection caused by the pork tapeworm Taenia solium. Intraventricular neurocysticercosis develops when cysticerci become lodged in the ventricular outflow tract, which occurs in 10% to 20% of cases. Identification of a scolex within a cystic lesion is pathognomonic....

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Main Authors: Olivia Mobarakai, Robert Summey
Format: Article
Language:English
Published: American College of Physicians 2024-10-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2023.1307
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author Olivia Mobarakai
Robert Summey
author_facet Olivia Mobarakai
Robert Summey
author_sort Olivia Mobarakai
collection DOAJ
description Neurocysticercosis is a parasitic infection caused by the pork tapeworm Taenia solium. Intraventricular neurocysticercosis develops when cysticerci become lodged in the ventricular outflow tract, which occurs in 10% to 20% of cases. Identification of a scolex within a cystic lesion is pathognomonic. Neurosurgical consultation is recommended to determine the appropriate operative course. When possible, removal of cysticerci using an endoscopic approach is recommended. We present a case of a 22-year-old woman from Honduras who was found to have obstructive hydrocephalus secondary to intraventricular neurocysticercosis and was treated successfully with shunt placement followed by medical therapy.
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series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-f8b1e1e88e4f4f9ba98f99551b0b94d42025-08-20T02:27:29ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642024-10-0131010.7326/aimcc.2023.1307Scolex on the Brain: Intraventricular NeurocysticercosisOlivia Mobarakai0Robert Summey11Pennsylvania Hospital of the University of Pennsylvania Health System, Philadelphia, Pennsylvania1Pennsylvania Hospital of the University of Pennsylvania Health System, Philadelphia, PennsylvaniaNeurocysticercosis is a parasitic infection caused by the pork tapeworm Taenia solium. Intraventricular neurocysticercosis develops when cysticerci become lodged in the ventricular outflow tract, which occurs in 10% to 20% of cases. Identification of a scolex within a cystic lesion is pathognomonic. Neurosurgical consultation is recommended to determine the appropriate operative course. When possible, removal of cysticerci using an endoscopic approach is recommended. We present a case of a 22-year-old woman from Honduras who was found to have obstructive hydrocephalus secondary to intraventricular neurocysticercosis and was treated successfully with shunt placement followed by medical therapy.https://www.acpjournals.org/doi/10.7326/aimcc.2023.1307
spellingShingle Olivia Mobarakai
Robert Summey
Scolex on the Brain: Intraventricular Neurocysticercosis
Annals of Internal Medicine: Clinical Cases
title Scolex on the Brain: Intraventricular Neurocysticercosis
title_full Scolex on the Brain: Intraventricular Neurocysticercosis
title_fullStr Scolex on the Brain: Intraventricular Neurocysticercosis
title_full_unstemmed Scolex on the Brain: Intraventricular Neurocysticercosis
title_short Scolex on the Brain: Intraventricular Neurocysticercosis
title_sort scolex on the brain intraventricular neurocysticercosis
url https://www.acpjournals.org/doi/10.7326/aimcc.2023.1307
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AT robertsummey scolexonthebrainintraventricularneurocysticercosis