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Journal of Korean Neurosurgical Society > Volume 19(3); 1990 > Article
Journal of Korean Neurosurgical Society 1990;19(3): 423-427.
A Case of Third Ventricular Cysticercosis.
Gye Hune Ahn, Eui Joong Yang, Choong Hyeon Kim, Suk Jung Jang, Tae Hyeong Ahn, Sung Shin Doh, Ho Shin
Department of Neurosurgery, College of Medicine, Chosun University, Kwang Ju, Korea.
ABSTRACT
Cerebral cysticercosis is relatively common disease in Korea. But cysts in the ventricular system are rare form. In the ventricular system, they occur most frequently in the 4th ventricle, more rarely in the lateral and 3rd ventricle. We have recently experienced a case of cerebral cysticercosis which involved the 3rd ventricle. A sixty-year old man was admitted because of generalized seizure attack followed by drowsy mentation. On admission, there were no specific localizing and lateralizing neurological abnormalities except bilateral, mild degree optic papilledema. Brain CT scan after intraventricular metrizamide administration disclose a cystic mass in the third ventricle. And the serum ELISA test was positive(patient's titer : 0.31, normal : below 0.18). Anterior transcallosal approach was performed and cystic mass was removed from the third ventricle. Pathological diagnosis of the specimen was cysticercosis. Following surgery, the patient's symptom cleared up and papilledema disappeared gradually.
Key Words: Cysticercosis; Third ventricle
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