Endoscopic management of cysticercal cysts within the lateral and third ventricles

Bergsneider, Marvin; Holly, Langston T.; Lee, Jae Hong; King, Wesley A.; Frazee, John G.

doi:10.3171/jns.2000.92.1.0014

Cited by 95 publications

(65 citation statements)

References 30 publications

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“…60 Ventricular cysts may be excised or endoscopically aspirated. 4 There is, however, the possibility that a cyst may migrate between the time of diagnosis and surgery, and this phenomenon must be ruled out by obtaining a control CT or MR image immediately before surgery to avoid unnecessary craniotomies. 78 In the absence of ependymitis, permanent shunt placement is usually not necessary after removal of a ventricular cyst.…”

Section: Surgical Treatmentmentioning

confidence: 99%

Review of neurocysticercosis

Sotelo¹,

Brutto²

2002

FOC

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In the neurosurgical services in many developing countries, treatment of neurocysticercosis (NCC) accounts for greater than 10% of brain surgical procedures and approximately 15% of neurological consultations. In these areas brain cysticercosis is the leading cause of hydrocephalus in adults and the first cause of late-onset epilepsy. During the last two decades, successful medical treatment has been established. Additionally, neuroimaging and immunological studies have clearly defined the topography, pathophysiological mechanisms, and biological status of these lesions. Thus, selection of cases for medical or surgical treatment has improved; in a significant number of cases, both interventions are required. New therapies with either albendazole or praziquantel have respectively reduced to 8 days and to 1 day the course of anticysticidal therapy, which now is fast, effective, inexpensive, atoxic, and convenient, particularly in endemic areas where most patients belong to the lower socioeconomic groups. Additionally, the rational use of steroid agents facilitates the treatment of inflammation, a conspicuous accompaniment in cases of NCC. A major effort, however, is still required to eradicate this disease.

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Section: Surgical Treatmentmentioning

confidence: 99%

Review of neurocysticercosis

Sotelo¹,

Brutto²

2002

FOC

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“…Neurocysticercosis is common parasite disease in most of developing countries, especially in Latin-America, Asia and Africa 1,6,[12][13][14][15]17) . These countries have high prevalence of cysticercosis because there is a close contact between humans and pigs, and poor hygiene 2,6,[12][13][14]17) .…”

Section: Discussionmentioning

confidence: 99%

Disseminated Cysticercosis

Park

Kong

Kim

et al. 2011

J Korean Neurosurg Soc

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the mountain in Mongol where there were close contacts with animals, contaminated water, lack of sewage system and poor personal hygiene. He grew up and mostly lived in Mongol. He has migrated to Korea and it has been only 6months in Korea. His consciousness was alert and his appearance looked to be normal. There were no neurologic deficits seen on physical examinations.He was admitted to our hospital and investigated with routine hematology that showed normal complete blood count, erythrocyte sedimentation rate and C-reactive protein were normal range. Human immunodeficiency virus-antibody test using enzyme-linked immunosorbent assay (ELISA) was negative. Cerebrospinal fluid (CSF) routine exam of spinal tapping revealed pleocytosis, predominant polymorphonuclear leukocytes, and acid fast bacilli stain and culture were negative. However, in ELISA investigation, serum and CSF parasite antibody immunoglobulin G for cysticercosis were positive. The electrocardiogram was normal sinus rhythm and three dimension echocardiography showed normal wall motion.The x-ray for the skull did not reveal abnormal appearance. Brain CT revealed multiple cystic lesions, which appeared as starry-night appearance, in the brain parenchyma (Fig. 1). Brain MRI showed numerous cystic lesions in the brain parenchyma and the lesions were also founded in temporalis muscle, around optic nerve and tongue (Fig. 2). On the spine MRI and whole body MRI, there were numerous cysticerci in subcutaneous tissue, skeletal muscles and the other organs (Fig. 3, 4). Therefore, we thought that cysticerci were disseminated throughout the whole body.The open biopsies were taken from the brain. Incision was made on the skin and the temporalis muscle was exposed with a whitish yellow egg. After Fronto-temporal craniotomy, anoth- INTRODUCTIONNeurocysticercosis is the most common parasite disease of the central nervous system 3,5,6,9,11,12,15) . However, disseminated cysticercosis is a very rare manifestation of the neurocysticercosis and fewer than 50 cases of disseminated cysticercosis have been reported in the world 2,7). Government medical college in India mentioned that among 450 cases of cysticercosis, only one case of disseminated cysticercosis was seen in their study 2) . Also, we underwent several cases of the neurocyticercosis in our institution but this case of disseminated cysticercosis was the first time we had treated in Korea.Although, the regimen for the treatment of neurocysticercosis is reported, there is no therapeutic regimen for the disseminated cysticercosis established in Korea. CASE REPORTA 39-year-old young man from Mongol presented with generalized tonic-clonic seizures and headache. He had not taken antiepileptic drugs and any other medications before this seizure attack. He complained of a headache, not depend on time but any time throughout the day. He did not have any medical diseases or operation in the past. In his childhood, he enjoyed to eat uncooked pigs, yaks, cows and horses. Additionally, he grew up at J Korean Neurosurg Soc...

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“…La endoscopia permite extirpar el quiste y, además, realizar una ventriculostomía o septostomía, según el caso, y de este modo nos ofrece la posibilidad de prescindir de una prótesis permanente. Los abordajes ventriculares clásicos, por vía transcallosa o transcortical, se asocian a un mayor riesgo de complicaciones que el abordaje endoscópico 4 . Bergsneider et al 4 analizaron 10 pacientes intervenidos mediante endoscopia, de los cuales, en nueve se consiguió la exéresis completa de las lesiones.…”

Section: Endoscopiaunclassified

“…Los abordajes ventriculares clásicos, por vía transcallosa o transcortical, se asocian a un mayor riesgo de complicaciones que el abordaje endoscópico 4 . Bergsneider et al 4 analizaron 10 pacientes intervenidos mediante endoscopia, de los cuales, en nueve se consiguió la exéresis completa de las lesiones. Sólo dos pacientes presentaron deterioro postoperatorio y tres de los 10 pacientes requirieron una DVP.…”

Section: Endoscopiaunclassified

Dificultades diagnósticas y terapéuticas en la neurocisticercosis: presentación de 6 casos y revisión de la literatura

Enseñat¹,

Martínez-Mañas²,

Horcajada³

et al. 2007

Neurocirugía

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ResumenIntroducción La neurocisticercosis (NCC) es una patología emergente en países desarrollados debido principalmente, al aumento de la inmigración desde áreas endémicas. El gran poliformismo de la NCC hace necesaria la individualización del tratamiento en cada caso. La toma de decisiones en paises no habituados a esta patología puede ser compleja.Objetivos. Establecer unas pautas diagnósticas y terapéuticas en los diferentes tipos de NCC.Material y métodos. Se ha realizado un análisis descriptivo y retrospectivo de seis casos de neurocisticercosis atendidos en el Servicio de Neurocirugía del Hospital Clínic de Barcelona desde 1992 al 2000 (ambos incluidos). Se realiza una revisión de la literatura sobre los métodos diagnósticos y terapéuticos actuales en las diferentes modalidades de NCC.Discusión. El diagnóstico definitivo o probable de NCC se realiza en función de criterios clínicos, inmunológicos, radiológicos y epidemiológicos. En pacientes con enfermedad inactiva se recomienda úni-camente tratamiento sintomático. No hay datos concluyentes sobre el beneficio del tratamiento con antiparasitarios en la enfermedad activa parenquimatosa, sin embargo, los pacientes con enfermedad activa extraparenquimatosa se pueden beneficiar del tratamiento antihelminítico asociado a corticoides durante los primeros días. El tratamiento quirúrgico está indicado en lesiones que provocan focalidad neurológica progresiva, hipertensión endocraneal o hidrocefalia.PALABRAS CLAVE: Neurocisticercosis. Terapia antiparasitaria. Cirugía. EITB. ELISA. Dificultades diagnósticas y terapéuticas en la neurocisticercosis: presentacion de 6 casos y revisión de la literatura Diagnostic and therapeutic difficulties in neurocysti-

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Endoscopic management of cysticercal cysts within the lateral and third ventricles

Abstract: The endoscopic removal of third and lateral ventricle cysticercal cysts, combined with a third ventriculostomy or septum pellucidotomy in selected cases, is an effective treatment in patients with hydrocephalus and should be considered the primary treatment for this condition.

Cited by 95 publications

References 30 publications

Review of neurocysticercosis

Review of neurocysticercosis

Disseminated Cysticercosis

Dificultades diagnósticas y terapéuticas en la neurocisticercosis: presentación de 6 casos y revisión de la literatura

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