Case of intraventricular neurocysticercosis; initially diagnosed as chronic migraine

Divyanshu Dubey, Anshudha Sawhney, Amod Amritphale, Devashish Dubey, Nupur Srivastav, Sonjjay Pande

Research output: Contribution to journalArticle

Abstract

The tapeworm cysts inside the cerebral ventricular system (Intra-ventricular Neurocysticercus) usually coexists with intra-parenchymal cyst. The case presented here is unique, as no intra-parenchymal cyst was visualized on CT scan. A provisional diagnosis of chronic migraine was made based on the clinical history and examination. Due to lack of response to migraine therapy MRI scan of head was performed which demonstrated a dilated ventricular system including lateral, third and fourth ventricle. An intraventricular cystic lesion was seen in fourth ventricle with an eccentric focus & the provisional diagnosis of intraventricular cysticercus was made. The patient was put on albendazole and dexamethasone for 8 days to which the patient responded. On regular follow up the patient was symptom free for 6 months after the completion of therapy.

Original languageEnglish (US)
Pages (from-to)416-422
Number of pages7
JournalInternational Journal of Collaborative Research on Internal Medicine and Public Health
Volume4
Issue number4
StatePublished - Apr 1 2012

Keywords

  • Headache
  • Intraventicular
  • MRI
  • Neurocysticercosis

ASJC Scopus subject areas

  • Internal Medicine
  • Public Health, Environmental and Occupational Health

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