RESUMO
CASO CLÍNICA: Paciente femenina de 45 años con antecedente de crisis convulsivas, presenta cefalea, náusea, vómito y disminución de la agudeza. Campos visuales 24-2 con hemianopsia heterónima bitemporal. La resonancia magnética revela una aracnoiditis de cisternas basales e hidrocefalia supratentorial. La tomografía computarizada de cráneo demostró calcificaciones supratentoriales, escólex en región occipital izquierda e hidrocefalia a expensas de atrapamiento de cuarto ventrículo, integrando el diagnóstico de neurocisticercosis. Discusión: La neurocisticercosis puede producir hemianopsia bitemporal por compresión quiasmática secundaria a hidrocefalia. Pacientes con hidrocefalia y antígenos negativos pueden presentar secuelas de infección sin parásitos vivos
CASE PRESENTATION: A 45-year-old woman with a history of seizures, headaches, nausea, vomiting, and decreased visual acuity of 5 years. Visual field detected a bitemporal heteronymous hemianopia. Magnetic resonance imaging revealed basal cistern arachnoiditis and supratentorial hydrocephalus. Cranial computed tomography revealed supratentorial calcifications, scolex in the left occipital region, and hydrocephalus secondary to entrapment of the fourth ventricle. Discussion: Neurocysticercosis can cause bitemporal hemianopsia due to chiasmatic compression secondary to obstructive hydrocephalus. The positivity of anti-cysticercus antibodies determined by ELISA evidence active disease. However patients with hydrocephalus and negative antigen may have sequelae of infection with non-living parasites
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Hemianopsia/etiologia , Neurocisticercose/complicações , Hidrocefalia/complicações , Convulsões/etiologia , Quiasma Óptico/fisiopatologia , Aracnoidite/complicações , Diagnóstico por ImagemRESUMO
CASE PRESENTATION: A 45-year-old woman with a history of seizures, headaches, nausea, vomiting, and decreased visual acuity of 5 years. Visual field detected a bitemporal heteronymous hemianopia. Magnetic resonance imaging revealed basal cistern arachnoiditis and supratentorial hydrocephalus. Cranial computed tomography revealed supratentorial calcifications, scolex in the left occipital region, and hydrocephalus secondary to entrapment of the fourth ventricle. DISCUSSION: Neurocysticercosis can cause bitemporal hemianopsia due to chiasmatic compression secondary to obstructive hydrocephalus. The positivity of anti-cysticercus antibodies determined by ELISA evidence active disease. However patients with hydrocephalus and negative antigen may have sequelae of infection with non-living parasites.