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Indian Journal of Trauma and Emergency Pediatrics

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A Rare Case of Pediatric Intraventricular Neurocysticercosis

Milind S. Tullu, Additional Professor, Department of Pediatrics, Seth G.S. Medical College & KEM Hospital, Mumbai, Maharashtra 400012, India. , Milind S. Tullu* , Anil Tambe** , Jhanvi Bajaj*** , Mukesh Agrawal****

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Indian Journal of Trauma and Emergency Pediatrics 10(1):p 25-28, January - March 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijtep.2348.9987.10118.4

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Abstract

Neurocysticercosis is caused by the infestation of human central nervous system with larval stage of Taenia solium. Many previous studies have reported poor outcomes in cases of intraventricular form of the disease. We present the case of an elevenyearold male child who presented with complaints of fever, headache, vomiting and seizures. He was misdiagnosed elsewhere as tuberculoma two years back. A solitary, nonmigratory cyst was visualized in the fourth ventricle on the magnetic resonance imaging scan done this time (intraventricular neurocysticercosis). Patient was treated with antihelminthics, steroids and anticonvulsants and is asymptomatic on followup. A repeat magnetic resonance imaging scan done 18 months later revealed complete resolution of the intraventricular neurocysticercosis. Points of interest in the present case (intraventricular neurocysticercosis) are the initial misdiagnosis, absence of severe hydrocephalus and presentation as seizures.

Keywords: Albendazole; Brain; Cyst; Cysticercus; Intraparenchymal; Intraventricular; Seizures; Taenia; Magnetic Resonance Imaging. 

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DOI: DOI: http://dx.doi.org/10.21088/ijtep.2348.9987.10118.4

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