Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Search in posts
Search in pages
Filter by Categories
Book Review
Brief Report
Case Letter
Case Report
Case Series
Commentary
Current Issue
Editorial
Erratum
Guest Editorial
Images
Images in Neurology
Images in Neuroscience
Images in Neurosciences
Letter to Editor
Letter to the Editor
Letters to Editor
Letters to the Editor
Media and News
None
Notice of Retraction
Obituary
Original Article
Point of View
Position Paper
Review Article
Short Communication
Systematic Review
Systematic Review Article
Technical Note
Techniques in Neurosurgery
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Search in posts
Search in pages
Filter by Categories
Book Review
Brief Report
Case Letter
Case Report
Case Series
Commentary
Current Issue
Editorial
Erratum
Guest Editorial
Images
Images in Neurology
Images in Neuroscience
Images in Neurosciences
Letter to Editor
Letter to the Editor
Letters to Editor
Letters to the Editor
Media and News
None
Notice of Retraction
Obituary
Original Article
Point of View
Position Paper
Review Article
Short Communication
Systematic Review
Systematic Review Article
Technical Note
Techniques in Neurosurgery
Generic selectors
Exact matches only
Search in title
Search in content
Post Type Selectors
Search in posts
Search in pages
Filter by Categories
Book Review
Brief Report
Case Letter
Case Report
Case Series
Commentary
Current Issue
Editorial
Erratum
Guest Editorial
Images
Images in Neurology
Images in Neuroscience
Images in Neurosciences
Letter to Editor
Letter to the Editor
Letters to Editor
Letters to the Editor
Media and News
None
Notice of Retraction
Obituary
Original Article
Point of View
Position Paper
Review Article
Short Communication
Systematic Review
Systematic Review Article
Technical Note
Techniques in Neurosurgery
View/Download PDF

Translate this page into:

Commentary
3 (
1
); 94-94

Commentary

Clinic of Neurosurgery, Department of Neurosurgery, Foundation for Nervous Diseases Study and Treatment, University of San Luis Potosi Medical School, Potosi, Mexico
Address for correspondence: Dr. Jaime G Torres Corzo, Clinic of Neurosurgery, Department of Neurosurgery, Foundation for Nervous Diseases Study and Treatment, University of San Luis Potosi Medical School, Potosi, Mexico. E-mail: torrescjaime@yahoo.com.mx

Read COMMENTARY-ARTICLE associated with this -

Licence

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Disclaimer:
This article was originally published by Medknow Publications & Media Pvt Ltd and was migrated to Scientific Scholar after the change of Publisher.

Neurocysticercosis still remains as the great imitator and represents a huge diagnosis challenge given that some of the symptoms are similar to other CNS pathologies, epilepsy for example, and the few specificity of most of the findings in image studies and the immunologic tests.[12] But, there are certain clinical findings that help to have a definite and unmistaken diagnosis. Del Brutto et al. proposed in 2001[3] several criteria with variable degrees to diagnose neurocysticercosis. The absolute criteria are three, histological demonstration of the parasite from biopsy of a brain or spinal cord lesion, Cystic lesions showing the scolex on CT or MRI, and direct visualization of subretinal parasites by funduscopic examination.[3] The authors present a case of parenchyma neurocysticercosis, that meets the second absolute criteria.

It is interesting that in this particular case the symptoms that the patient developed matched perfectly with the site where the cyst was located. It is an unusual location indeed, but with several years of experience, we can say for sure that these parasites can be found anywhere in the central nervous system.[4]

The life cycle of the cysticercus has three stages: vesicular, colloidal, and calcified.[5] For the parenchyma cysticerci, the choice is whether treat the patient medically or not as Carpio et al describes.[6] Even though, the decision must be taken according to the patient and the symptoms, given that each patient is unique.[2] Based on the results of the MRI, the cyst was a single lesion, so, the authors decided not to give any specific medication and treat the patient conservatively, with the subsequent improvement of the patient.

References

  1. , . Midbrain cysticercal cyst. J Neurosci Rural Pract. 2012;3:93-4.
    [Google Scholar]
  2. , . Neurocysticercosis. Semin Neurol. 2005;25:243-51.
    [Google Scholar]
  3. , , , , , , . Proposed diagnostic criteria for neurocisticercosis. Neurology. 2001;57:177-83.
    [Google Scholar]
  4. , , , , , , . Endoscopic management of hydrocephalus due to neurocysticercosis. Clin Neurol Neurosurg. 2010;112:11-6.
    [Google Scholar]
  5. , , . Neurocysticercosis: Updated concepts about an old disease. Lancet Neurol. 2005;4:653-61.
    [Google Scholar]
  6. , . Diagnostic criteria for human cysticercosis. J Neurol Sci. 1998;161:185-8.
    [Google Scholar]

    Fulltext Views
    258

    PDF downloads
    285
    View/Download PDF
    Download Citations
    BibTeX
    RIS
    Show Sections