Diagnosis of intraventricular cysticercosis by magnetic resonance imaging: improved detection with three-dimensional spoiled gradient recalled echo sequences.

Neurocysticercosis (NCC) is caused when the cysticercus larvae of Taenia solium infect the central nervous system. The larvae usually land in the parenchymal tissue, but quite rarely can lodge in the ventricles and cisterns of the brain. Unlike parenchymal NCC, it is not easy to demonstrate the cysticercus cysts within the cerebrospinal fluid spaces. Computed tomography and even conventional MR sequences can fail to detect such cysts. However, obtaining three-dimensional spoiled gradient recalled echo imaging sequences can help in improving the detection of intraventricular NCC, as is borne out by a case described in the present report. The use of such special MR sequences is therefore strongly advocated in suspected cases of intraventricular NCC.