Stereotactic evacuation of vesicular neurocysticercosis located in the Brain Stem. Case presentation and literature review.
DOI:
https://doi.org/10.47924/neurotarget202123Keywords:
Neurocysticercosis, Taenia Solium, Brain StemAbstract
Introduction: We clinical case of Neurocysticercosis diagnosed histopathologically by obtaining tissue using stereotactic surgery of the mesencephalic and protuberance lesion. The literature on the subject, the clinical case and the importance for the diagnosis and treatment of stereotactic biopsy in brain stem lesions are presented.
Clinical case: In this report of a clinical case is exposed a male patient, 51 years old, with no history of importance, with left progressive brachio-crural hemiparesia, disorders in swallowing and dysarthria. Magnetic resonance imaging is requested, evidencing a lesion in the brain stem, considering for diagnosis and treatment the performance of a stereotactic biopsy which histopathological diagnosis was Neurocysticercosis, specific pharmacological treatment for this pathology is subsequently implementted.
Conclusion: Neurocysticercosis is a pathology with higher incidence in developing countries; however, its presentation in brain stem is rare. This report is directed to consider this pathology as a differential diagnosis of brain stem space occupant injury.
Stereotactic surgery is the first-line surgical technique, par excellence minimally invasive, ideal for complex lesions in hard-to-reach areas such as the brain stem.
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