• World Neurosurg · Feb 2021

    Case Reports

    Neurocysticercosis Superimposing Schwannoma: A Unique Combination of 2 Pathologies at Cerebellopontine Cistern.

    • Ajay Choudhary, Kaviraj Kaushik, Arvind Ahuja, Rahul Varshney, Rajesh Sharma, and Ravi Hari Phulware.
    • Department of Neurosurgery, ABVIMS & Dr RML Hospital, New Delhi, India.
    • World Neurosurg. 2021 Feb 1; 146: 205209205-209.

    BackgroundNeurocysticercosis, a common parasitic infection in developing areas, usually exists in supratentorial parenchyma. Literature review shows few case reports published for cerebellopontine angle cysticercosis, but its coexistence with a schwannoma in the same cistern has never been seen before. This leads to confusion in preoperative diagnosis and management.Case DescriptionSuch a unique case in which dual pathology (i.e., coexisting trigeminal schwannoma along with neurocysticercosis) was present in same location with relevant radiology and histopathology and management is discussed in this case report.ConclusionsCysticercosis should be kept as a differential diagnosis in cystic lesions of the CP angle, especially in endemic areas and even in cases showing obvious cystic schwannoma on imaging. Care should be taken to prevent spillage of cyst contents while puncturing the cyst wall for a better outcome.Copyright © 2020 Elsevier Inc. All rights reserved.

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