• World Neurosurg · May 2018

    Case Reports

    Cyst With a Twist!: a Diagnostic Dilemma.

    • Abhay K Kattepur and Aliasgar Moiyadi.
    • Tata Memorial Hospital, Surgical Oncology, Mumbai, Maharashtra, India. Electronic address: drabhay1985@gmail.com.
    • World Neurosurg. 2018 May 1; 113: 91-93.

    AbstractObstructive hydrocephalus secondary to posterior cranial fossa space-occupying lesions is common, and treatment includes shunting or removal of the causative lesion. The list of posterior fossa space-occupying lesions is exhaustive and includes tumors, cysts, and tumor-like conditions. In the setting of cancer, the first differential is usually a metastatic deposit. However, unrelated pathologies could coexist and may be overlooked. We hereby describe an unusual case of a posterior fossa cystic, suspected metastatic lesion presenting with moderate to severe hydrocephalus in a patient with oral cavity cancer on chemotherapy, which turned out to be cysticercosis on excision, leading to a diagnostic dilemma; hence the adage "cyst with a twist"!Copyright © 2018 Elsevier Inc. All rights reserved.

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