A sequential occurrence of neurocysticercosis and concomitant benign and malignant brain lesions: A case report of a 43-year-old Indian male.

Abstract

Background: The occurrence of multiple brain tumors of different cellular origins in a single individual is extremely rare. There is limited documentation regarding the incidence of intracranial neoplasms in individuals with preexisting neurocysticercosis (NCC).

Case description: We report the case of a 43-year-old male who had been under our care since he first suffered from seizures 2½ years ago when he was diagnosed with NCC. A year after the diagnosis of NCC, he presented to the emergency room with seizures, when he was found to have a new small left frontal meningioma, which was managed conservatively. In the next year, the patient was admitted to the emergency room in a disoriented state, and his imaging revealed a new lesion - a left frontal glioma, for which he was operated. Six months later, another glioma was found in the right frontal region, which was excised surgically. Four months after the second surgery, the patient was brought with intractable seizures when he was diagnosed with cerebrospinal fluid spread of NCC. During this admission, the patient expired due to a pulmonary infection.

Conclusion: This case report presents the sequential occurrence of neurocysticercosis, meningioma, and glioma in an Indian male patient. The occurrence of NCC with brain tumors is rarely reported in the literature; further research is needed to understand the occurrence of multiple brain tumors, especially in the setting of preexisting NCC.