Cysticercosis of the fourth ventricle causing sudden death: a case report and review of the literature

Pathology Oncology Research : POR
Tibor HortobágyiSafa Al-Sarraj

Abstract

A 15 years old girl of African origin was admitted with a history of headaches and a generalised tonic seizure. Her clinical examination including fundoscopy was normal. She claimed she had been assaulted. Within a few hours of her admission she was found dead in her bed during the ward round. Cardiopulmonary resuscitation was unsuccessful. At post-mortem, the major organs showed no pathological changes and neck dissection showed no abnormality. Neuropathological examination after formalin fixation revealed a cystic lesion in the fourth ventricle, ependymitis and acute hydrocephalus. Histology showed parts of the parasite Taenia solium and the diagnosis was neurocysticercosis. This case highlights the need for forensic and general pathologists as well as forensic medical examiners and paediatricians to be aware of neurocysticercosis as a possible cause of sudden death in the presence of normal clinical findings and negative autopsy, especially in patients from Asian, African or South American countries. As cysticercosis is the commonest cause of seizures in the developing world, neurocysticercosis needs to be considered as a cause of sudden and unexpected death in any patient with a history of headaches and/or seizures.

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Citations

Aug 8, 2013·PloS One·Lorenzo ZammarchiUNKNOWN COHEMI Project Study Group
Apr 25, 2012·Acta neurologica Belgica·Oscar H Del Brutto
Aug 19, 2017·The American Journal of Tropical Medicine and Hygiene·Javier A BustosOscar H Del Brutto
Jan 25, 2012·Surgery Today·Wolfgang PumbergerSimon Kargl
Oct 12, 2013·Journal of Clinical Nursing·Seonhyeon BaekSun-Mi Lee
Dec 22, 2010·Expert Review of Anti-infective Therapy·Agnès FleuryTeresa Corona
Jul 10, 2018·Transactions of the Royal Society of Tropical Medicine and Hygiene·Ewan HunterMike Brown
Sep 16, 2020·Forensic Science, Medicine, and Pathology·Slobodan NikolićVladimir Živković

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