Racemose neurocysticercosis

J Infect Public Health. 2017 Nov-Dec;10(6):884-885. doi: 10.1016/j.jiph.2016.11.019. Epub 2017 Feb 21.

Abstract

Racemose neurocysticercosis refers to the 'aberrant proliferating cestode larvae" presenting as multiple, non-capsulated cystic membranes that bud exogenously giving a multilocular cystic appearance resembling a 'bunch of grapes'. These are typically located in non-confining areas of brain such as cisterns and lack scolex, contrast-enhancement or edema. We describe a 12-year-old boy with acute-onset headache, vomiting, drowsiness and irrelevant speech, irritability, meningismus, brisk muscle-stretch-reflexes and Babinski's sign. Magnetic resonance imaging brain revealed racemose neurocysticercosis. He received ventriculo-peritoneal shunt, oral corticosteroids and albendazole for 4 weeks. Racemose cysts in neurocysticercosis are a rare presentation in children. Treatment is difficult.Racemose neurocysticercosis refers to the 'aberrant proliferating cestode larvae" presenting as multiple, non-capsulated cystic membranes that bud exogenously giving a multilocular cystic appearance resembling a 'bunch of grapes'. These are typically located in non-confining areas of brain such as cisterns and lack scolex, contrast-enhancement or edema. We describe a 12-year-old boy with acute-onset headache, vomiting, drowsiness and irrelevant speech, irritability, meningismus, brisk muscle-stretch-reflexes and Babinski's sign. Magnetic resonance imaging brain revealed racemose neurocysticercosis. He received ventriculo-peritoneal shunt, oral corticosteroids and albendazole for 4 weeks. Racemose cysts in neurocysticercosis are a rare presentation in children. Treatment is difficult.

Keywords: Hydrocephalus; Intraventricular; Neurocysticercosis; Racemose.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Cortex Hormones / administration & dosage
  • Albendazole / administration & dosage
  • Animals
  • Anthelmintics / administration & dosage
  • Anti-Inflammatory Agents / administration & dosage
  • Brain / diagnostic imaging
  • Brain / pathology
  • Child
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Neurocysticercosis / diagnosis*
  • Neurocysticercosis / diagnostic imaging
  • Neurocysticercosis / pathology*
  • Neurocysticercosis / therapy
  • Ventriculoperitoneal Shunt

Substances

  • Adrenal Cortex Hormones
  • Anthelmintics
  • Anti-Inflammatory Agents
  • Albendazole