Acute Obstructive Hydrocephalus Due to Cysticercosis During Pregnancy

Ronald M. Ramus, Mark Girson, Diane M. Twickler, George D. Wendel

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

Background: Cysticercosis, due to the parasite Taenia solium, can involve any organ. When central nervous system infection occurs, signs and symptoms depend on the location of the cerebral lesions. Most patients develop seizures, focal symptoms, or headaches with nausea and vomiting. Case: A case of extraparenchymal (intraventricular) cysticercosis was diagnosed in a patient at term who presented with acute alteration in mental status. Ventriculostomy was performed because of acute obstructive hydrocephalus. Labor ensued and was augmented with oxytocin. Intrapartum management included magnesium sulfate seizure prophylaxis and corticosteroids. Intracranial pressures ranged between 4 and 12 cm H20 peripartum with approximately 300 mL of cerebrospinal fluid drained over the first 24 hours. Postpartum management included craniotomy with resection of a larval cyst and oral praziquantel therapy. Conclusion: This case describes an uncommon presentation of neurocysticercosis that should be considered in gravidas with acute mental status changes.

Original languageEnglish (US)
Pages (from-to)198-201
Number of pages4
JournalInfectious Diseases in Obstetrics and Gynecology
Volume1
Issue number4
DOIs
StatePublished - Jan 1 1994

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Keywords

  • Neurocysticercosis
  • Taenia solium
  • organic brain syndrome

ASJC Scopus subject areas

  • Dermatology
  • Obstetrics and Gynecology
  • Infectious Diseases

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