Giant Neurocysticercosis: A Rare Medical Condition

Neurocysticercosis is the most common parasitic infestation of the central nervous system and is often asymptomatic. A giant presentation, defined as a cyst measuring 4 cm or more in its largest dimension, is a rare entity. The mass effect of such lesions can lead to neurological deterioration, making surgical resection necessary. We present three cases of neurocysticercosis with giant cystic lesions located intracranially, which caused significant mass effects. The patients primarily exhibited impaired consciousness, motor deficits, and seizures. All three patients underwent craniotomy for the resection of the cystic lesions, resulting in favorable outcomes and recovery of neurological function. The management of giant intracranial neurocysticercosis with substantial mass effect should be surgical. Adequate surgical resection can lead to significant neurological recovery for the patient.

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Publication Details

Journal
Cureus
Published
2024-10-08
DOI
https://doi.org/10.7759/cureus.71090
Citations
1
Primary Topic
Parasitic infections in humans and animals
Type
article
Field-Weighted Citation Impact
0.42
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article

Giant Neurocysticercosis: A Rare Medical Condition

Noe Santiago Rea, Jorge Zumaeta, Camilo Contreras, Paola Tapia et al.
1 citations
Cureus
Parasitic infections in humans and animals
0.42
article

Giant Neurocysticercosis: A Rare Medical Condition

Noe Santiago Rea, Jorge Zumaeta, Camilo Contreras, Paola Tapia, Jose Valerio, Diego Morales
article en
1 citations

Abstract

Neurocysticercosis is the most common parasitic infestation of the central nervous system and is often asymptomatic. A giant presentation, defined as a cyst measuring 4 cm or more in its largest dimension, is a rare entity. The mass effect of such lesions can lead to neurological deterioration, making surgical resection necessary. We present three cases of neurocysticercosis with giant cystic lesions located intracranially, which caused significant mass effects. The patients primarily exhibited impaired consciousness, motor deficits, and seizures. All three patients underwent craniotomy for the resection of the cystic lesions, resulting in favorable outcomes and recovery of neurological function. The management of giant intracranial neurocysticercosis with substantial mass effect should be surgical. Adequate surgical resection can lead to significant neurological recovery for the patient.

Cureus
Larkin Community Hospital (US), National Hospital (IN), Estudios Clínicos Latinoamérica (AR), Palmetto General Hospital (US), Hospital Base Guillermo Almenara Irigoyen (PE)
Good health and well-being
Openalex Percentile: Top 34%
Parasitic infections in humans and animals
0.42
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