Neurocysticercosis Superimposing Schwannoma: A Unique Combination of 2 Pathologies at Cerebellopontine Cistern

World Neurosurg. 2021 Feb:146:205-209. doi: 10.1016/j.wneu.2020.10.111. Epub 2020 Oct 24.

Abstract

Background: Neurocysticercosis, a common parasitic infection in developing areas, usually exists in supratentorial parenchyma. Literature review shows few case reports published for cerebellopontine angle cysticercosis, but its coexistence with a schwannoma in the same cistern has never been seen before. This leads to confusion in preoperative diagnosis and management.

Case description: Such a unique case in which dual pathology (i.e., coexisting trigeminal schwannoma along with neurocysticercosis) was present in same location with relevant radiology and histopathology and management is discussed in this case report.

Conclusions: Cysticercosis should be kept as a differential diagnosis in cystic lesions of the CP angle, especially in endemic areas and even in cases showing obvious cystic schwannoma on imaging. Care should be taken to prevent spillage of cyst contents while puncturing the cyst wall for a better outcome.

Keywords: Cerebellopontine cistern; Cysticercus; Dual pathology; Schwannoma.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cerebellar Diseases / complications*
  • Cerebellar Diseases / pathology
  • Cerebellopontine Angle / pathology*
  • Humans
  • Male
  • Neurocysticercosis / complications*
  • Neurocysticercosis / pathology
  • Neuroma, Acoustic / complications*
  • Neuroma, Acoustic / pathology