Intraventricular migration of fourth ventricular neurocysticercosis: an unusual complication during endoscopic surgery.

Abstract

A boy in his middle childhood presented with intermittent episodes of headache with vomiting for 6 months. Plain CT of the head and MRI of the brain revealed fourth ventricular cysticercal cyst with acute obstructive hydrocephalus. Endoscopic excision of the cyst was done along with endoscopic third ventriculostomy and septostomy with external ventricular drain placement. Although we were able to decompress the cysticercal cyst, unfortunately, the cyst got slipped from the grasper leaving the grasped cyst wall in the tooth of the grasper. Through this case report, we want to highlight that such a complication could also happen during neuroendoscopic cysticercal cyst removal and how we dealt with it. Our patient was discharged neurologically intact and was symptom free on follow-up.

• Authors: Deepak Kumar Singh, Prevesh Kumar Sharma, Neha Singh, Vipin Chand
• Journal: BMJ case reports (BMJ Case Rep) Vol. 16 Issue 6 (Jun 30 2023) ISSN: 1757-790X [Electronic] England
• PMID: 37399344 (Publication Type: Case Reports, Journal Article)
• Copyright: © BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.

Topics

• Male
• Animals
• Humans
• Child
• Neurocysticercosis (diagnostic imaging, surgery, complications)
• Fourth Ventricle (diagnostic imaging, surgery)
• Brain (surgery)
• Neuroendoscopy (adverse effects)
• Ventriculostomy (adverse effects)
• Hydrocephalus (surgery, etiology)
• Cysts (surgery)
• Cysticercus