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Case Reports: Learning from unexpected outcome (positive or negative)
Intraventricular migration of fourth ventricular neurocysticercosis: an unusual complication during endoscopic surgery
  1. Deepak Kumar Singh1,
  2. Prevesh Kumar Sharma1,
  3. Neha Singh2 and
  4. Vipin Chand1
  1. 1Neurosurgery, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  2. 2Radiodiagnosis and Imaging, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Prevesh Kumar Sharma; preveshsharma2009{at}gmail.com

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.

  • Hydrocephalus
  • Infection (neurology)
  • Headache (including migraines)
  • Neuroimaging

http://dx.doi.org/10.1136/bcr-2023-255813

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content—DKS, PKS, NS and VC. The following author gave final approval of the manuscript—DKS.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.