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Medicina interna de México

versión impresa ISSN 0186-4866


SOTO-COSSIO, Estefhany; VICENTE-HERNANDEZ, Berenice; PACHECO, Gerónimo  y  MENDEZ-ROSITO, Diego. Ventricular neurocysticercosis: multimodal management and bibliographic review. Med. interna Méx. [online]. 2018, vol.34, n.5, pp.797-803. ISSN 0186-4866.

Neurocysticercosis (NCC) is the most common parasitic infection of the central nervous system caused by Taenia solium in its larval stage. It is estimated that there are millions of people affected in developing countries, being the first cause of seizures and acquired epilepsy. We present the case of a 40-year-old woman, with no relevant history, who presented sudden loss of alertness and clinical data of intracraneal hypertension, which was confirmed by CT in addition to finding non-communicating hydrocephalus, the patient underwent to the placement of a ventriculo-peritoneal bypass valve without complications and the approach was complemented by a magnetic resonance in a FIESTA sequence in which the cysticercus cyst intraventricular was observed. The patient underwent removal of the cyst by neuroendoscopy and treatment based on steroids and cysticides. The patient evolved favorably, with full recovery of alertness and the only sequelae was the alteration of work memory. In recent years, the development of antiparasitic therapy and minimally invasive neurosurgery techniques has improved the prognosis of patients.

Palabras llave : Neurocysticercosis; Central Nervous System Infections; Taenia solium, Neuroendoscopy.

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