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Images in Neurology |

Papilledema From Intraventricular Neurocysticercosis

Laura C. Huang, BA1; Jayanth Sridhar, MD1
[+] Author Affiliations
1Bascom Palmer Eye Institute, Miller School of Medicine, University of Miami, Miami, Florida
JAMA Neurol. 2015;72(7):831. doi:10.1001/jamaneurol.2015.0470.
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This case report describes a woman with neurocysticercosis manifesting as blurry vision, tinnitus, and multiple posterior fossa cysts requiring surgical drainage.

A woman in her 30s presented with a 3-month history of bilateral blurry vision with transient visual obscurations and a 1-month history of tinnitus. Funduscopic examination findings were concerning for bilateral optic disc edema, which was worse in the right eye compared with the left (Figure 1). Magnetic resonance imaging of the brain demonstrated multiple cysts in the posterior fossa, including a large cyst inducing obstructive hydrocephalus at the level of the fourth ventricle measuring 1.2 cm × 1.6 cm in anteroposterior and transverse dimensions (Figure 2).

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Figure 1.
Fundus Photography at Time of Presentation

A, Fundus photograph of the right eye depicts florid optic nerve edema with disc hemorrhages and exudates. B, Fundus photograph of the left eye depicts a similar, less severe presentation.

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Figure 2.
Magnetic Resonance Imaging at Time of Presentation

Magnetic resonance imaging of the brain demonstrates a large cyst inducing obstructive hydrocephalus at the level of the fourth ventricle (arrowhead).

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