Intraventricular Neurocysticercosis: A Case Report

Ruzbih Bahtiar, Ferry Wijanarko


Background: Neurocysticercosis is the most common parasitic disease of nervous system in humans and the single most common cause of acquired epileptic seizures in the developing country. But in Indonesia, it was rarely reported. It has wide variety of clinical manifestation due to its pleomorphic nature.

Subjects and Method: We reported a case of a 12 years old male with seizure and hydrocephalus due to intraventricular neurocysticercosis. A ventriculoperitoneal shunt (V-P shunt) performed to reduce the intracranial pressure due to hydrocephalus and followed by endoscopic surgery to taking sample of the neurocysticercosis and reducing the mass.

Results: Pathological anatomy examination of excised mass found worm eggs. The patient received medications of albendazole and metil prednisolon.

Conclusion: Intraventricular neurocysticercosis causing hydrocephalus is the commonest surgical indication, with V-P shunt placement followed by endoscopic surgery as the procedure of choice as it minimally invasive.

Keyword: Intraventricular neurocysticercosis, hydrocephalus, headache, V-P shunt, endoscopic surgery.

Correspondence: Ruzbih Bahtiar. General Surgery Resident, Faculty of Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java.

Indonesian Journal of Medicine (2018), 3(1): 56-64

Full Text:



Gasparetto EL, Alves Leon S, Domingues FS, Frossard JT, Lopes SP, Souza JM (2016). Neurocysticercosis, familial cerebral cavernomas and intracranial calcifications: differential diagnosis for adequate management. Arquivos de Neuro Psiquiatria, 74(6): 495–500.

Gripper LB, Welburn SC (2017). Neurocysticercosis infection and disease–A review. Acta Tropica, 166: 218–224.

Jensen TO, Post JJ (2016). Intraventricular neurocysticercosis: Presentation, diagnosis and management. Asian Pacific Journal of Tropical Medicine, 9(8): 815–818.

Rajshekhar V (2016). Neurocysticercosis: Diagnostic problems & current therapeutic strategies. Indian Journal of Medical Research, 144(3): 319.

Wandra T, Margono SS, Gafar MS, Saragih JM, Sutisna P, Dharmawan NS, Sudew AAR, et al. (2007). Taeniasis/ cysticercosis in indonesia, 1996-2006. Southeast Asian Journal of Tropical Medicine and Public Health, 38(1): 140–143.

Wiria AE (2008). Buku Ajar Parasitologi Kedokteran 4th ed., Jakarta: FKUI.

Zafar MJ (2016). Neurocysticercosis treatment and management. Available at:

Zammarchi L, Angheben A, Gobbi F, Zavarise G, RequenaMendez A, Marchese V, Montagnani C, et al. (2016). Profile of adult and pediatric neurocysticercosis cases observed in five Southern European centers. Neurological Sciences, 37(8): 1349–1355.


  • There are currently no refbacks.