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World J Clin Cases. May 6, 2026; 14(13): 117403
Published online May 6, 2026. doi: 10.12998/wjcc.v14.i13.117403
Published online May 6, 2026. doi: 10.12998/wjcc.v14.i13.117403
Fourth ventricle neurocysticercosis with hydrocephalus: A case report and literature review
Donato Creatura, Leonardo Anselmi, Beatrice Claudia Bono, Department of Neurosurgery, Department of Biomedical Sciences, IRCCS Humanitas Research Hospital, Humanitas University, Milan 20089, Lombardy, Italy
Jad El Choueiri, Leonardo Di Cosmo, School of Medicine, Humanitas University, Milan 20072, Lombardy, Italy
Angela Dele Rampini, Luigi Alberto Andrea Lanterna, Department of Neurosurgery, ASST Papa Giovanni XXIII Hospital, Bergamo 24127, Lombardy, Italy
Author contributions: Creatura D and Lanterna LAA designed the study; Creatura D and Anselmi L collected the clinical data; Creatura D and El Choueiri J wrote the manuscript; Lanterna LAA, Bono BC, and Rampini AD supervised the study and critically revised the manuscript; all authors read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Jad El Choueiri, School of Medicine, Humanitas University, Via Rita Levi Montalcini 4, Milan 20072, Lombardy, Italy. jad.elchoueiri@st.hunimed.eu
Received: December 10, 2025
Revised: March 5, 2026
Accepted: March 30, 2026
Published online: May 6, 2026
Processing time: 138 Days and 14 Hours
Revised: March 5, 2026
Accepted: March 30, 2026
Published online: May 6, 2026
Processing time: 138 Days and 14 Hours
Core Tip
Core Tip: Intraventricular neurocysticercosis (NCC) may present with obstructive hydrocephalus requiring urgent management. Although endoscopic third ventriculostomy can relieve hydrocephalus, it may not address the underlying obstruction caused by the cyst. This case highlights the management dilemma between cerebrospinal fluid diversion and definitive cyst removal in fourth ventricle NCC. When symptoms persist or the lesion enlarges, microsurgical excision through a suboccipital telovelar approach remains a safe and effective treatment strategy.