Cases reported "Cysticercosis"

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1/95. Double compartment hydrocephalus in a patient with cysticercosis meningitis.

    The authors discuss encystment of the fourth ventricle and upward herniation complicating a case of cysticercosis cerebri. The "double compartment" hydrocephalus followed occlusion of the aqueduct of Sylvius and the foramena of Luschka and Magendie in a patient who had previously received a ventriculo-atrial shunt for communicating hydrocephalus. The clinical presentation of this particular form of double compartment hydrocephalus is discussed.
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ranking = 1
keywords = ventricle, foramen
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2/95. magnetic resonance imaging in the diagnosis of subretinal cysticercosis.

    PURPOSE: To report a case of ocular cysticercosis and associated magnetic resonance imaging (MRI) findings. DESIGN: Interventional case report. methods: A 56-year-old woman from ecuador presented with decreased vision and an exudative retinal detachment in the left eye. Subretinal cysticercosis was suspected. RESULTS: In the left eye, a subretinal cyst evident on fundus examination was investigated with B-scan ultrasonography. ultrasonography showed a cystic structure, and MRI of the orbit confirmed the suspicion for cysticercosis. magnetic resonance imaging of the brain also revealed a small parenchymal lesion in the left occipital lobe of the brain. CONCLUSIONS: magnetic resonance imaging is a useful adjunct to B-scan ultrasonography in the diagnosis of ocular cysticercosis. magnetic resonance imaging is superior to computed tomography in the demonstration of cystic structures in the eye and central nervous system. This finding has important therapeutic implications, as any viable cysticercus in the eye or cerebral parenchyma can be treated surgically or medically, respectively.
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ranking = 2.833257169097
keywords = cerebral
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3/95. Cysticercosis in otolaryngology.

    Cysticercosis is not likely to be the first diagnosis the otologist has in mind when regarding tumors in the head and neck area. The fact that this disease may present a diagnostic and therapeutic problem is illustrated by three cases, appearing in the tongue, buccal mucosa, and midline of the neck, respectively. The local finding of a soft nontender mass, the typical calcifications in the soft tissues visible on roentgenograms, and the histopathological findings are described and illustrated. attention is drawn to the fact that cerebral cysticercosis, which is a very grave disease, may cause tinnitus, nystagmus, and hearing disturbances.
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ranking = 2.833257169097
keywords = cerebral
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4/95. Cysticercosis producing various neurological presentations in a patient: case report.

    We present an unusual case of neurocysticercosis supported by characteristic lesions on computed tomography and positive serum and CSF titres. The patient came to medical attention on various occasions over a decade with three clearly separate neurological presentations (acute psychosis, cerebral infarction, and hydrocephalus) before diagnosis was made.
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ranking = 2.833257169097
keywords = cerebral
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5/95. Cysticercosis: imported and autochthonous infections in kuwait.

    Intracerebral and non-central nervous system (non-CNS) cysticercosis caused by the larval pork tapeworm taenia solium was diagnosed in patients in an Islamic state. The mode of transmission and challenges in diagnosis are highlighted. Sixteen patients with neurocysticercosis and six with non-CNS lesions were diagnosed by imaging studies (computerized tomography [CT]/magnetic resonance imaging [MRI]) and serology (ELISA and/or enzyme-linked immunoelectrotransfer blot assay [EITB]). Four of 55 family members, including servants, tested for antibodies were positive by the EITB and ELISA. Only one of these sera tested for antibodies to adult T. solium was positive: that of the cook, the probable source of the infection. We postulate a similar mode of transmission in the other Kuwaitis. Evaluation of several commercially available ELISA kits showed they were of poor specificity. Even in countries where pork consumption is proscribed by religious laws, physicians should include cysticercosis in their differential diagnosis in patients with neurological symptoms or non-CNS lesions, especially in non-endemic countries with a large expatriate population such as kuwait. In children particularly, and in this region, suspected tuberculous lesions on CT must be investigated to rule out cysticerci by a more diligent use of the sensitive and specific EITB assay. Failure to understand the local epidemiology leads to empirical, inappropriate and prolonged therapy for chronic disease.
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ranking = 2.833257169097
keywords = cerebral
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6/95. Bilateral middle cerebral artery occlusions in neurocysticercosis.

    BACKGROUND: Bilateral hemispheric strokes in a young adult are very rare. We describe a case of neurocysticercosis in a young male with bilateral middle cerebral artery occlusions. CASE DESCRIPTION: Axial tomographic imaging revealed lesions compatible with cysticerci adjacent to each middle cerebral artery initial segment, and occlusion of both arteries at that level was demonstrated by angiography. Extensive medical workup disclosed no other risk factors for stroke. CONCLUSIONS: neurocysticercosis should be considered in the differential diagnosis of stroke in a young patient.
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ranking = 16.999543014582
keywords = cerebral
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7/95. neurocysticercosis presenting to the emergency department as a pure motor hemiparesis.

    We report the case of a 23-year-old male who presented to the emergency department (ED) with an isolated right-sided pure motor hemiparesis (PMH). An unenhanced computed tomography (CT scan) revealed a hypodensity in the area of the left parasagittal motor strip. The patient then experienced a Jacksonian type of seizure involving his right leg and was treated with intravenous phenytoin and dexamethasone. A second CT scan performed with contrast was thought to be consistent with a cerebral abscess with surrounding white matter edema. Surgical findings were consistent with neurocysticercosis. The patient was treated with praziquantel with nearly full recovery. Worldwide, cysticercosis is the most common CNS parasite. Because of immigration from endemic areas, cysticercosis has become more common in the united states. patients with neurocysticercosis may arrive in the ED with a wide variety of unusual presentations. In this case, the PMH syndrome was caused by a solitary lesion in the motor strip. This report describes a case of PMH due to neurocysticercosis secondary to local mass affect alone. The literature of neurocysticercosis and PMH is reviewed and the pathogenesis, clinical presentation, and therapy are discussed.
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ranking = 2.833257169097
keywords = cerebral
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8/95. neurocysticercosis: regression of a fourth ventricular cyst with praziquantel.

    Symptomatic intraventricular cysticerci are said to respond poorly to the anticestodial agent praziquantel. A case is reported of rapid regression of a large cyst of the fourth ventricle after oral praziquantel, avoiding the need for surgery.
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ranking = 0.89978129690944
keywords = ventricle
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9/95. Clinical and radiographic response of fourth ventricle cysticercosis to praziquantel therapy.

    A case of fourth ventricle cysticercosis treated with praziquantel is presented. The disappearance of the lesion six months after the treatment was demonstrated by CT scan. A review of the literature indicates that this is a very exceptional result, because with recently intraventricular cysticercosis was considered to be non-responsive to praziquantel treatment, making surgery necessary.
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ranking = 4.4989064845472
keywords = ventricle
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10/95. Concomitant neurocysticercosis and brucellosis.

    A young Mexican woman had headache and left arm weakness develop shortly after immigrating to the united states. A solitary cerebral cysticercus was found at surgery, but, instead of the expected finding of clear fluid, the cyst contained pus from which brucella melitensis was cultured. Although the patient had no signs or symptoms suggestive of brucellosis, agglutination studies revealed IgM and IgG antibodies consistent with active brucellosis. Clinicians should be alert to the possibility of multiple infections in immigrants from countries where parasites and bacteria that are uncommon in the united states are endemic.
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ranking = 2.833257169097
keywords = cerebral
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