Case of the Week
Section Editors: Matylda Machnowska1 and Anvita Pauranik2
1University of Toronto, Toronto, Ontario, Canada
2BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada
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November 20, 2014
Cisternal Racemose Neurocysticercosis
- Cysticercosis (Taenia solium) is the most important parasitic disease of the central nervous system. Endemic regions include Latin America, Africa, Asia, and Eastern Europe.
- Imaging findings and clinical presentation depend on the localization of encysted larvae.
- Key Diagnostic Features:
- Cisternal neurocysticercosis manifests as space-occupying cysts within subarachnoid basal cisterns or sylvian fissure.
- Racemose form is a multicystic grape-like cluster.
- Scolex is usually not identified.
- DDx: Echinococcal cysts
- Rx: Neuroendoscopy surgery, traditional treatment (cysticidal agents, steroids)
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