Intraventricular infestation of neurocysticercosis is relatively rare, and it is usually associated with multiple sites of ventricular and parenchymal lesions. Intraventricular cysts are typically 1-2 cm in diameter and show surrounding ependymal inflammatory reaction. Note the cystic lesion in IV ventricle with turbulent flow in IV ventricle and ependymal reaction. There was resultant obstructive hydrocephalus.
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