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POSITIVE REACTION FOR CYSTICERCOSIS AND MULTICENTRIC ANAPLASTIC LIGOASTROCYTOMA
Salomão, José Francisco Manganelli et al. | Date Issued: 2006
Author
Salomão, José Francisco Manganelli
Pone, Marcos V.
Silva, André R. A. da
Leibinger, Renê D.
Bellas, Antonio R.
Campos, José Maurício S.
Garrido, José Roberto P.
Vanazzi, Elide
Barros, Ana C. M. W. de
Pone, Sheila M.
Boechat, M. C. B.
Affilliation
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Cirurgia Pediátrica. Seção de Neurocirurgia Pediátrica. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Pediatria. Seção de Doenças Infecciosas e Parasitárias. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Pediatria. Seção de Doenças Infecciosas e Parasitárias. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Cirurgia Pediátrica. Seção de Neurocirurgia Pediátrica. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Cirurgia Pediátrica. Seção de Neurocirurgia Pediátrica. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Pediatria. Seção de Doenças Infecciosas e Parasitárias. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Pediatria. Seção de Doenças Infecciosas e Parasitárias. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Patologia. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Pediatria. Seção de Doenças Infecciosas e Parasitárias. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Pediatria. Seção de Doenças Infecciosas e Parasitárias. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Radiologia. Rio de Janeiro, RJ, Brasil.
Abstract
Introduction: An unusual case of positive immunological testing for cysticercosis in the cystic fluid obtained from an anaplastic oligoastrocytoma is presented. Case report: A 15-year-old boy was admitted with multiple brain lesions. The biggest was a cyst with a mural node and neurocysticercosis was suspected. In order to relieve intracranial pressure, the cyst was punctured and the immunological testing for cysticercosis was positive, reinforcing the clinical suspicion and leading to a clinical trial with albendazole and steroids. As the patient deteriorated the cystic lesion was removed and the diagnosis of anaplastic oligoastrocytoma was established. A second lesion was eventually approached and the histopathological diagnosis of both specimens concurred. Discussion: Although some authors believe that chronic inflammatory changes following neurocysticercosis could induce the formation of brain tumors, this association may be a mere coincidence. In our case no clinical evidence of a prior infestation by Cysticercus was found. In fact, an exhaustive examination of the specimens did not reveal any areas of inflammatory reaction. We believe that the similarity of the glioma and cysticercosis antigens may be the cause of the positive reactions in the cystic fluid.
Keywords
Neurocysticercosis Glioma
Multicentric Glioma
Anaplastic Oligoastrocytoma
 
DeCS
Neoplasias Encefálicas
Cisticercose
Oligodendroglioma
 
Citation
SALOMÃO, José Francisco Manganelli et al. Positive reaction for cysticercosis and multicentric anaplastic ligoastrocytoma. Child's Nervous System, Berlin, v. 22, n. 2, p. 182-185, Mar. 2006.
DOI
10.1007/s00381-004-1099-8
ISSN
1433-0350