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Intraventricular neurocysticercosis

Case contributed by Prashant Mudgal
Diagnosis certain

Presentation

Headache, vomiting and visual disturbances.

Patient Data

Age: 19 year
Gender: Female
A well defined thin walled cystic lesion is noted within the third ventricle causing its expansion. It is hypointense on T1, hyperintense on T2 and suppressed on FLAIR images. An eccentric enhancing nodule is seen within this lesion, findings are suggestive of intraventricular cysticercosis.

Mild to moderate dilatation of bilateral lateral ventricles with periventricular ooze is noted

Case Discussion

NCC is the most common CNS parasitic infection worldwide. Brain parenchyma is the most commonly affected site in NCC. Intraventricular cysticercosis cysts are seen in 20% to 50% of cases. 

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