Parenchymal neurocysticercosis complicated by hydrocephalus: A rare case report with mechanistic insights.
Xinghua Tie, Liping Zhang
✦ AI-curated · Sources linked
Case in brief
A 45-year-old male presented with a 20-year history of cognitive decline, gait instability, urinary incontinence, and recurrent seizures. Neuroimaging revealed multiple parenchymal cysticercal lesions causing impaired cerebrospinal fluid circulation and hydrocephalus. The patient underwent ventriculoperitoneal shunting along with albendazole therapy and antiepileptic treatment, resulting in significant symptomatic improvement and seizure-free survival at one-year follow-up.
What made this case unusual
This case highlights the rare association of parenchymal neurocysticercosis with hydrocephalus due to the formation of a cerebral aqueductal septum, which is not commonly reported.
Diagnostic / clinical pearl
Clinicians should consider neurocysticercosis in patients with progressive neurological symptoms and a relevant epidemiological history, especially in endemic regions.
Why it matters
Understanding the mechanisms of hydrocephalus in neurocysticercosis can guide effective management strategies and improve patient outcomes in similar cases.