Hypothalamic neurocysticercosis presenting with polyuria: a first report of an unusual manifestation. |
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| Authors: | Prajej Ruangkanchanasetr Thananat Bangchuad Pasiri Sithinamsuwan Yupin Benjasuratwong Warin Chuankrerkkul Suchinta Ubolwatra Thanom Supaporn |
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| Affiliation: | Division of Nephrology, Phramongkutklao Hospital, Bangkok, Thailand. prajej@yahoo.com |
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| Abstract: | | Introduction | Neurocysticercosis is the most common cystic lesion to occurin the central nervous system, especially in developing andtropical countries. Dissemination of infection with cysticercusoccurs in humans after the ingestion of the eggs of Taenia soliumin contaminated food (accidental intermediate host), after theregurgitation of eggs, from the intestine into the stomach,in a patient who harbours the adult worm (internal autoinfection),or carried by unclean hands (autoinfection). Larvae or oncospheresinvade the gastrointestinal mucosa and spread haematogenouslyto other organs. The most commonly affected organs are the brain,eyes and skeletal muscles. The characteristic lesion of cysticercusis a cyst with an internal scolex. Although 80% of the casesof neurocysticercosis are asymptomatic, patients may presentwith seizure, headache, symptoms of hydrocephalus or increasedintracranial pressure,
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| Keywords: | diabetes insipidus hypothalamus neurocysticercosis panhypopituitarism polyuria |
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