PMC2729254_01
Noncontrast CT scans (2006). Ventriculo-peritoneal shunt with hypertensive obstructive hydrocephalus.
CRM2009-871365.003.jpg
PMC2729254_01_CRM2009-871365.003.jpg
fig3
Computed tomography (Figure 3) showed an intraventricular cystic lesion and signs of intracranial hypertension.
Magnetic resonance imaging (2006): (a) and (b) T2 weighted axial images; (c) T1 weighted coronal image; (d), (e), and (f) axial FLAIR (Fluid Attenuated Inversion Recovery) images. There are obstructive hydrocephalus and ventricular deformities, suggestive of intraventricular cystic lesions.
CRM2009-871365.004.jpg
PMC2729254_01_CRM2009-871365.004.jpg
fig4
Following examination with magnetic resonance imaging (Figure 4), endoscopic puncture of the cyst was indicated. 
Screenshots of ventricular endoscopy (2006). Cystic walls were perforated, and the ventricular shunt was replaced.
CRM2009-871365.005.jpg
PMC2729254_01_CRM2009-871365.005.jpg
fig5
No evidence of active neurocysticercosis was found (Figure 5).
Noncontrast CT scans after endoscopic intraventricular cystic drainage and repositioning of the ventricular shunt (2006).
CRM2009-871365.006.jpg
PMC2729254_01_CRM2009-871365.006.jpg
fig6
The patient was discharged a week after the surgery with remission of the symptoms; she was prescribed valproate 1750 mg/d (Figure 6).