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CC BY-NC-ND 4.0 · Asian J Neurosurg 2021; 16(01): 204-207
DOI: 10.4103/ajns.AJNS_423_20
Case Report

A case of sellar/suprasellar neurocysticercosis mimicking a craniopharyngioma

Sasa Shakya
Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
,
Pritam Gurung
Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
,
Dinuj Shrestha
Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
,
Pravesh Rajbhandhari
Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
,
Basant Pant
Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu
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Neurocysticercosis (NCC) commonly presents with seizures in developing countries such as Nepal. It may also present with raised intracranial pressure due to obstructive hydrocephalus when cyst is located in the fourth ventricle or foramen of Monro. There are four main stages of NCC (1) Vesicular, (2) Colloidal vesicular, (3) Granular nodular, and (4) Nodular calcified. The colloidal vesicular stages can cause arachnoiditis and thus can cause hydrocephalus whereas obstructive hydrocephalus is usually caused by racemose type of NCC. This case was a suprasellar cyst mimicking craniopharyngioma, supported with clinical history of poor visual acuity, endocrine abnormality, suggested radiological findings by computed tomography scan, and magnetic resonance imaging. Suprasellar NCC was confirmed only by intraoperative findings and histopathology report.

Key-words:

Craniopharyngioma - neurocysticercosis - sellar - suprasellar

Financial support and sponsorship

Nil.




Publication History

Received: 08 September 2020

Accepted: 28 December 2020

Article published online:
16 August 2022

© 2021. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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