Intraventricular Neurocystecercosis with Psychiatry Manifestations

Abstract

Neurocysticercosis (NCC)is one of the common parasitic infection of the central nervous system, caused by tenia solium. We present here a case of 19-year-old female presented with partial hanging, on CT brain incidentally found to have asymmetric ectasia of right lateral ventricle, for which MRI was done revealed - intraventricular neurocysticercosis causing obstructive hydrocephalus. Extra parenchymal neurocysticercosis can occur in ventricles, sub arachnoid space, spine and eyes. A recent study reported an overall frequency of subarachnoid cysts in 2%, ventricular cysts in 6%, and hydrocephalus in 16% of NCC cases. It may be associated with any neurological sign and symptom. Focal neurological deficits have been recognized in one-third of symptomatic patients. Motor deficits, involuntary movements, Parkinsonism, language disturbances, sensory deficits may occur in some patients. Psychiatric disorders may mark the evolution of hydrocephalus, As in our case, patient with unilateral hydrocephalus presented with alleged history of hanging , it is important to rule out organic brain diseases in all cases with psychiatry manifestations. Keywords: Neurocysticercosis, Hydrocephalus, Psychiatry disorder