Cranial hypertrophic pachymeningitis secondary to neurocysticercosis.

ABSTRACT

We report a case of a 46-year-old Brazilian woman, a farmer, who presented with recently uncontrolled epilepsy, daily headaches and ataxia. Cranial CT revealed hydrocephalus which was treated with ventricular drainage. Brain MRI revealed multiple parenchymal cysts of varying stages of neurocysticercosis. In addition, the patient presented with diffuse dural enhancement consisted with pachymeningitis, which is quite an unusual manifestation of neurocysticercosis.