{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T12:49:21Z","timestamp":1776948561564,"version":"3.51.4"},"reference-count":21,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\">\n<jats:title>Background: <\/jats:title>\n<jats:p>Neurocysticercosis (NCC) is the most common helminthic infection of the central nervous system. We present a case of the fourth ventricle NCC that presented with Bruns\u2019 syndrome (with headaches worsened by head movements, gait ataxia, and vomiting) and the operative technique used for cyst removal.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st2\">\n<jats:title>Case Description: <\/jats:title>\n<jats:p>A 39-year-old woman was admitted to the emergency department with moderate-to-severe headaches that got worse in the afternoon and were triggered by head movements, relieved on prone position, and were associated with gait ataxia and vomiting. A brain magnetic resonance imaging (MRI) showed a fourth ventricle cyst, with an eccentric enhancing nodule compatible with a larvae scolex and associated obstructive hydrocephalus. The patient was positioned prone and underwent a microsurgical resection of the cyst without rupture through a telovelar approach to the fourth ventricle. The postoperative MRI confirmed complete cyst removal and resolution of the hydrocephalus. At 12-month follow-up, the patient remains with no signs of disease recurrence.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"st3\">\n<jats:title>Conclusion: <\/jats:title>\n<jats:p>In this report, we depict a case of intraventricular NCC successfully treated with a single surgery, allowing intact cyst removal and achieving effective hydrocephalus treatment with no need to resort to cerebrospinal fluid diversion techniques.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_1091_2021","type":"journal-article","created":{"date-parts":[[2021,12,20]],"date-time":"2021-12-20T05:58:40Z","timestamp":1639979920000},"page":"616","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Fourth ventricle neurocysticercosis presenting with Bruns\u2019 syndrome: A case report"],"prefix":"10.25259","volume":"12","author":[{"given":"Diogo","family":"Roque","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Hip\u00f3lito-Reis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro","family":"Duarte-Batista","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Manuel Santos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2021,12,20]]},"reference":[{"key":"10.25259\/SNI_1091_2021\/ref-1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.29245\/2572-9411\/2017\/2.1084","article-title":"Intraventricular neurocysticercosis and Bruns\u2019 syndrome: A review","volume":"2","author":"Campbell","year":"2017","journal-title":"J Rare Dis Res Treat"},{"key":"10.25259\/SNI_1091_2021\/ref-2","doi-asserted-by":"crossref","first-page":"1982","DOI":"10.1001\/archinte.1995.00430180088010","article-title":"Is the course of NCC modified by treatment with antihelminthic agents?","volume":"155","author":"Carpio","year":"1995","journal-title":"Arch Intern Med"},{"key":"10.25259\/SNI_1091_2021\/ref-3","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1179\/2047773212Y.0000000025","article-title":"Diagnostic criteria for neurocysticercosis, revisited","volume":"106","author":"Del Brutto","year":"2012","journal-title":"Pathog Glob Health"},{"key":"10.25259\/SNI_1091_2021\/ref-4","doi-asserted-by":"crossref","first-page":"1202","DOI":"10.1016\/S1474-4422(14)70094-8","article-title":"Clinical symptoms, diagnosis, and treatment of neurocysticercosis","volume":"13","author":"Garcia","year":"2014","journal-title":"Lancet Neurol"},{"key":"10.25259\/SNI_1091_2021\/ref-5","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1016\/j.ncl.2018.07.003","article-title":"Neurocysticercosis","volume":"36","author":"Garcia","year":"2018","journal-title":"Neurol Clin"},{"key":"10.25259\/SNI_1091_2021\/ref-6","doi-asserted-by":"crossref","first-page":"1096","DOI":"10.1016\/j.jocn.2007.10.004","article-title":"Endoscopic management of intraventricular neurocysticercosis","volume":"15","author":"Goel","year":"2008","journal-title":"J Clin Neurosci"},{"key":"10.25259\/SNI_1091_2021\/ref-7","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1016\/j.actatropica.2016.11.015","article-title":"Neurocysticercosis infection and disease a review","volume":"166","author":"Gripper","year":"2017","journal-title":"Acta Trop"},{"key":"10.25259\/SNI_1091_2021\/ref-8","first-page":"179","article-title":"Bruns syndrome caused by intraventricular tumor","volume":"13","author":"Krasnianski","year":"2008","journal-title":"Eur J Med Res"},{"key":"10.25259\/SNI_1091_2021\/ref-9","doi-asserted-by":"crossref","first-page":"786","DOI":"10.3171\/jns.1981.55.5.0786","article-title":"Hydrocephalus in cerebral cysticercosis. 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