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Child's Nervous System
Published in: Child's Nervous System 4/2020

01-04-2020 | Magnetic Resonance Imaging | Case-Based Review

The rolling cyst: migrating intraventricular neurocysticercosis—a case-based update

Authors: Valentina Baro, Mariagiulia Anglani, Francesco Martinolli, Andrea Landi, Domenico d’Avella, Luca Denaro

Published in: Child's Nervous System | Issue 4/2020

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Abstract

Background

Neurocysticercosis is the most frequent parasitic disease of the central nervous system, and its incidence in the developed countries is increasing due to immigration and travels from endemic areas. The intraventricular location has been found to involve up to 61.3% of the patients; moreover, only 22 cases of migrating intraventricular cyst have been reported so far. Despite the rarity of the condition in western countries, its occurrence generates some concerns and the aim of this paper is to update the information concerning pathogenesis, clinical presentation, diagnosis and management of this entity.

Methods and results

All the pertinent literature was analysed, focused on the cases of migrating intraventricular neurocysticercosis and its peculiar features. An illustrative case regarding a 14-year-old girl is also presented.

Conclusions

Migrating intraventricular neurocysticercosis is a pathognomonic entity usually presenting with hydrocephalus, and its treatment is mainly surgical, preferring an endoscopic approach. When the resection of the intraventricular cyst is not performed, an accurate follow-up is mandatory to detect clinical changes due to a recurrent hydrocephalus or to the effect of the dying cyst on the surrounding area. In case of permanent shunt placement, the cysticidal and steroid treatment is recommended to reduce the risk of shunt failure.
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Metadata
Title
The rolling cyst: migrating intraventricular neurocysticercosis—a case-based update
Authors
Valentina Baro
Mariagiulia Anglani
Francesco Martinolli
Andrea Landi
Domenico d’Avella
Luca Denaro
Publication date
01-04-2020
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 4/2020
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-020-04505-w

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