A 51-year-old man with cerebellar signs and raised intracranial pressure had negative indirect and serological tests for cysticercosis. During operation cysticerci were removed from the cisterna magna, fourth ventricle and aqueduct. Histological examination confirmed the diagnosis of cysticercosis. After operation the condition of the patient deteriorated consciousness disturbances, involuntary movements of the left upper extremity and paraparesis appeared. Only after treatment with Praziquantel with simultaneous administration of oedema-reducing agents nearly complete regression of neurological manifestations was achieved.
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