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NEUROLOGY 2009;73:e34
© 2009 American Academy of Neurology
Resident and Fellow Section

Teaching NeuroImages: Bruns syndrome caused by intraventricular neurocysticercosis

Abhijit Das, MD, Chandrasekharan Kesavadas, MD, Venkataraman V. Radhakrishnan, MD and N. Suresh Nair, MCh

From the Departments of Neurology (A.D.), Imaging Sciences and Interventional Radiology (C.K.), Pathology (V.V.R.), and Neurosurgery (N.S.N.), Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.

Address correspondence and reprint requests to Dr. Abhijit Das, Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India abhijit.neuro{at}gmail.com.

A 24-year-old woman presented with 2 months of episodic vertigo, vomiting, and headache triggered by abrupt head movements, lasting from a few minutes to 1 hour. She was asymptomatic between the attacks and had mild gait ataxia on examination. Brain MRI revealed obstructive hydrocephalus and a cystic lesion in the fourth ventricle (figures 1 and 2). Her symptoms subsided after cyst excision; a histopathologic diagnosis of neurocysticercosis was made. This clinical picture matches the Bruns syndrome, due to a mobile ventricular mass producing episodic hydrocephalus on changing head posture.1,2 Cysticercosis of the fourth ventricle can be fatal and mandates prompt neurosurgical treatment.


Figure 117
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  		Figure 1 Sagittal T1 postcontrast MRI showing a cystic lesion in the fourth ventricle (arrow) with dilation of lateral and third ventricles

 


Figure 217
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  		Figure 2 Axial three-dimensional constructive interference in steady state (CISS) sequence shows lesion within the dilated fourth ventricle showing cystic and solid components (arrow)

 

Disclosure: The authors report no disclosures.


   REFERENCES
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 REFERENCES
 

  1. Krasnianski M, Müller T, Stock K, Zierz S. Bruns syndrome caused by intraventricular tumor. Eur J Med Res 2008;13:179–181.[Medline]
  2. Torres-Corzo J, Rodriguez-della Vecchia R, Rangel-Castilla L. Bruns syndrome caused by intraventricular neurocysticercosis treated using flexible endoscopy. J Neurosurg 2006;104:746–748.[Medline]




This Article
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Right arrow Articles by Das, A.
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PubMed
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Right arrow Articles by Das, A.
Right arrow Articles by Nair, N. S.
Related Collections
Right arrow Hydrocephalus
Right arrow MRI
Right arrow Parasitic infections
Right arrow Clinical neurology examination
Right arrow Vertigo

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