Intraventricular Neurocysticercosis (Racemose Form): A Rare Entity –A Case Report And Review Of Literature

Objective: Neurocysticercosis-racemose form is a rare parasitic infestation of the central nervous system. They can be misdiagnosed as hydatid cyst or intraventricular epidermoid thus presenting as a diagnostic dilemma.Settings: Grant Medical College & Sir J.J Group of Hospitals, byculla, Mumbai, Maharashtra, India. Methods: A 16 year old male presented with headache, vomiting, imbalance on walking and diminision of vision of short duration. CT scan and MRI scan with contrast was suggestive of a fourth ventricular lesion. The patient was operated upon with complete excision of the lesion. Results: The patient showed immediate neurological improvement with reduction in headache, vomiting and imbalance on walking. He has been following up regularly with gradual recovery. Conclusion: Neurocysticercosisracemose form is a rare intraventricular lesion. Complete surgical excision followed by appropriate drug therapy should be given to achieve cure.