{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,29]],"date-time":"2022-03-29T02:50:00Z","timestamp":1648522200893},"reference-count":20,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nNeurocysticercosis (NCC) is the most common parasitic infection of the central nervous system worldwide and is caused by the larval form of the tapeworm Taenia solium<\/jats:italic>. In general, T. solium<\/jats:italic> larval form may be located in the neuraxis, resulting in pathology. Here, we report a rare case of female with a history of adult onset seizures presenting with adult form T. solium<\/jats:italic> in the fourth ventricle, causing hydrocephalus.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nA 36-year-old female patient with a known history of adult onset seizures presented with a 1-year history of progressively worsening bilateral headaches with vertigo and intermittent nausea. A computerized tomography scan revealed ventriculomegaly and transependymal flow, with an obstruction at the level of the fourth ventricle. Outpatient magnetic resonance imaging demonstrated obstructive hydrocephalus secondary to a lobulated cystic mass within the fourth ventricle, demonstrating a gross appearance consistent with racemose NCC. The patient underwent endoscopic third ventriculostomy, and gross examination of the resected cyst revealed a mature T. solium<\/jats:italic> larvae encased in a cystic membrane. Given that our patient was born and raised in Mexico but had not returned since the age of 8, NCC was an unexpected finding.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nThe present case highlights the importance of maintaining high suspicion for NCC in all patients presenting with seizures or hydrocephalus of unknown cause. Even in patients with a very remote history of residence in an endemic country, NCC can be an overlooked, underlying cause of both chronic neurologic symptoms, as well as acute, life-threatening neurologic emergencies.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_363_2020","type":"journal-article","created":{"date-parts":[[2020,7,18]],"date-time":"2020-07-18T10:21:52Z","timestamp":1595067712000},"page":"202","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intraventricular adult Taenia solium<\/i> causing hydrocephalus: A case report"],"prefix":"10.25259","volume":"11","author":[{"given":"Ketan","family":"Yerneni","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery, Northwestern Feinberg School of Medicine, 420 East Superior Street, Chicago, Illinois, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Constantine","family":"Karras","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Northwestern Feinberg School of Medicine, 420 East Superior Street, Chicago, Illinois, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah K.","family":"Weiss","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery, Northwestern Feinberg School of Medicine, 420 East Superior Street, Chicago, Illinois, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig M.","family":"Horbinski","sequence":"additional","affiliation":[{"name":"Departments of Pathology, Northwestern Feinberg School of Medicine, 420 East Superior Street, Chicago, Illinois, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Orin","family":"Bloch","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of California, Davis, California, United States."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2020,7,18]]},"reference":[{"key":"10.25259\/SNI_363_2020\/ref-1","first-page":"Cd000215","article-title":"Anthelmintics for people with neurocysticercosis","volume":"20","author":"Abba","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"key":"10.25259\/SNI_363_2020\/ref-2","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1590\/S0004-282X2003000400002","article-title":"Ununsual manifestations of neurocysticercosis in MR imaging: Analysis of 172 cases","volume":"61","author":"Amaral","year":"2003","journal-title":"Arq Neuropsiquiatr"},{"key":"10.25259\/SNI_363_2020\/ref-3","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.1212\/WNL.0b013e31828c2f3e","article-title":"Evidence-based guideline: Treatment of parenchymal neurocysticercosis: Report of the guideline development subcommittee of the American academy of neurology","volume":"80","author":"Baird","year":"2013","journal-title":"Neurology"},{"key":"10.25259\/SNI_363_2020\/ref-4","doi-asserted-by":"crossref","first-page":"e2","DOI":"10.3171\/foc.2002.12.6.3","article-title":"Deaths associated with cysticercosis. 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