ENDOSCOPIC REMOVAL OF A 3RD VENTRICULAR CYSTICERCAL CYST

We report the case of a young man who presented with acute obstructive hydrocephalus previously treated with bilateral ventriculo-peritoneal shunts. Previous magnetic resonance imaging studies were consistent w ith aqueduct stenosis; no intraventricular pathology was identified. N euroendoscopy was performed in order to explore the third ventricle an d perform a third ventriculostomy. This revealed a cysticercal lesion of the third ventricle which was removed endoscopically. In addition, a third ventriculostomy was performed and both shunt systems removed. Following a course of albendazole the patient went on to make a full r ecovery, and currently remains shunt independent.