Subarachnoid racemose neurocysticercosis with cerebellar involvement: an old friend in an infrequent location?

• Autor(a) principal: Parra-Cárdenas, Diana Maritza
• Data de Publicação: 2021
• Outros Autores: Vargas-Cuervo, María Teresa, Montejo-Coy, Jorge Armando, Calderon-Vargas, Carlos Mauricio, Severiche-Bueno, Diego Fernando
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista do Instituto de Medicina Tropical de São Paulo
• Texto Completo: https://www.revistas.usp.br/rimtsp/article/view/187813
• topic: Neurocysticercosis; Racemose form; Cerebellum; Central nervous system; Parasitic infections; Taenia solium

Taenia solium is the most common parasitic infection of the central nervous system and it can cause parenchymal or extra-parenchymal lesions. Subarachnoid cysticercosis is a type of extra-parenchymal infection in which the prevalence is not known and racemose NC with cerebellar involvement has been rarely reported. The diagnosis is challenging because of its similarity to other infectious diseases or to subarachnoid involvement of systemic malignancies. Treatment usually requires cysticide drugs, however, there are no randomized studies concerning the anti-parasitic treatment in subarachnoid NC. We present a case of racemose NC in the cerebellar hemisphere to draw attention to this pathology, endemic in many parts of the world; and highlight all the current gaps in our understanding of this entity.