title: Racemose neurocysticercosis.
abstract: Racemose neurocysticercosis refers to the 'aberrant proliferating cestode larvae" presenting as multiple, non-capsulated cystic membranes that bud exogenously giving a multilocular cystic appearance resembling a 'bunch of grapes'. These are typically located in non-confining areas of brain such as cisterns and lack scolex, contrast-enhancement or edema. We describe a 12-year-old boy with acute-onset headache, vomiting, drowsiness and irrelevant speech, irritability, meningismus, brisk muscle-stretch-reflexes and Babinski's sign. Magnetic resonance imaging brain revealed racemose neurocysticercosis. He received ventriculo-peritoneal shunt, oral corticosteroids and albendazole for 4 weeks. Racemose cysts in neurocysticercosis are a rare presentation in children. Treatment is difficult.Racemose neurocysticercosis refers to the 'aberrant proliferating cestode larvae" presenting as multiple, non-capsulated cystic membranes that bud exogenously giving a multilocular cystic appearance resembling a 'bunch of grapes'. These are typically located in non-confining areas of brain such as cisterns and lack scolex, contrast-enhancement or edema. We describe a 12-year-old boy with acute-onset headache, vomiting, drowsiness and irrelevant speech, irritability, meningismus, brisk muscle-stretch-reflexes and Babinski's sign. Magnetic resonance imaging brain revealed racemose neurocysticercosis. He received ventriculo-peritoneal shunt, oral corticosteroids and albendazole for 4 weeks. Racemose cysts in neurocysticercosis are a rare presentation in children. Treatment is difficult.
authors.affiliation: Pediatric Neurology and Neurodevelopment Unit, Advanced Pediatrics Centre, Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
authors.forename: Arushi G
authors.initials: AG
authors.lastname: Saini
authors.affiliation: Department of Radiodiagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India.
authors.forename: Sameer
authors.initials: S
authors.lastname: Vyas
authors.affiliation: Pediatric Neurology and Neurodevelopment Unit, Advanced Pediatrics Centre, Department of Pediatrics, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India. Electronic address: doctorpratibhasinghi@gmail.com.
authors.forename: Pratibha
authors.initials: P
authors.lastname: Singhi
mesh_terms: D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D015766:Albendazole / Q000008:administration & dosage; D000818:Animals; D000871:Anthelmintics / Q000008:administration & dosage; D000893:Anti-Inflammatory Agents / Q000008:administration & dosage; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology; D002648:Child; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D020019:Neurocysticercosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy; D017287:Ventriculoperitoneal Shunt
chemical_list: D000305:Adrenal Cortex Hormones; D000871:Anthelmintics; D000893:Anti-Inflammatory Agents; D015766:Albendazole
keywords: Hydrocephalus; Intraventricular; Neurocysticercosis; Racemose