The Masquerading Cyst: Extraparenchymal Neurocysticercosis Presenting as Acute Meningitis Kelsey Ripp, BS, Victor Orellana, MD, Caitlin Dugdale, MD,

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Presentation transcript:

The Masquerading Cyst: Extraparenchymal Neurocysticercosis Presenting as Acute Meningitis Kelsey Ripp, BS, Victor Orellana, MD, Caitlin Dugdale, MD, Michael Punsoni, MD, Curtis E. Doberstein, MD, Curt G. Beckwith, MD The American Journal of Medicine Volume 129, Issue 3, Pages e1-e3 (March 2016) DOI: 10.1016/j.amjmed.2015.09.012 Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 1 Axial fluid-attenuated inversion recovery MRI showing cyst in fourth ventricle. AHR = anterior head right; PFL = posterior foot left. The American Journal of Medicine 2016 129, e1-e3DOI: (10.1016/j.amjmed.2015.09.012) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 2 Surgical specimen removed from the fourth ventricle, confirmed by surgical pathology as a Taenia solium cyst. The American Journal of Medicine 2016 129, e1-e3DOI: (10.1016/j.amjmed.2015.09.012) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 3 Hematoxylin–eosin stained sections of neurocysticercosis show spiral cavity at 4× magnification (left); higher power view with calcareous corpuscles (arrows) at 10× (middle); scolex suckers (arrows) with dense fibrosis and calcifications at 10× (right). The American Journal of Medicine 2016 129, e1-e3DOI: (10.1016/j.amjmed.2015.09.012) Copyright © 2016 Elsevier Inc. Terms and Conditions