Intraventricular neurocysticercosis-induced obstructive hydrocephalus: A case report of cyst migration and multidisciplinary management

Abstract

A 28-year-old Hispanic male, recently relocated from rural Mexico, presented with sudden-onset headaches and unconsciousness. Imaging revealed intraventricular neurocysticercosis causing obstructive hydrocephalus. Surgical cyst removal was hindered by migration, but serological confirmation guided successful multidisciplinary management with antihelminthic therapy and adjunctive medications. Despite failed surgical attempts, medical treatment led to clinical improvement. This case highlights the complexities of managing neurocysticercosis-induced hydrocephalus with intraventricular cyst migration and underscores the importance of a comprehensive approach and evolving treatment strategies to optimize patient outcomes.