Pilocytic Astrocytoma Mimicking Neurocysticercosis: Atypical Presentation



Pilocytic astrocytomas (PAs) are neoplasms frequently diagnosed during childhood and adolescence, and the most common location is infratentorial, as a solitary lesion. Here we present an unusual case of multifocal cystic PA in a 20 year-old female patient. The patient was referred to our hospital with a presumptive diagnosis of neurocysticercosis. After an exhaustive study of the magnetic resonance imaging (MRI) that revealed multiple cystic lesions involving the cerebellum, brain stem and upper spinal cord, spectroscopic analysis and the negative results of the cerebrospinal fluid (LCR) analysis, we decided to perform a stereotactic biopsy and finally arrived to the diagnosis of PA.

Keywords: pilocytic astrocytoma - neurocysticercosis - multifocality- atypical clinical presentation.

Citation: Turco CJ, Carbel GVP, Brasca BRA, Maccio A, Cuevas FG, Weigandt DM. “Pilocytic Astrocytoma Mimicking Neurocysticercosis: Atypical Presentation”. SVOA Neurology 3:1 (2022) Pages 06-10.