Hydrocephalus in neurocysticercosis

Matushita, Hamilton; Pinto, Fernando; Cardeal, Daniel Dante; Teixeira, Manoel Jacobsen

doi:10.1007/s00381-011-1500-3

Cited by 40 publications

(33 citation statements)

References 82 publications

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“…All these complications are severe, require reoperation, and may cause death 2,3,[7][8][9][10][11][12][13] . Currently, there is a consensus that, whenever possible and indicated, one should avoid VS implantation when a high complication rate is identified in the long-term (mean of 60 months) of up to 51% of cases; in these cases, ventricular neuroendoscopic procedures are given preference 12,[14][15][16][17] . To prevent infectious complications, the institutional adoption of protocols, such as first described by Choux, is what shows the most positive impact and control of these complications.…”

Section: Discussionmentioning

confidence: 99%

Performance of fixed-pressure valve with antisiphon device SPHERA® in hydrocephalus treatment and overdrainage prevention

Pinto

Pereira

Saad

et al. 2012

Arq. Neuro-Psiquiatr.

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Patients with hydrocephalus and risk factors for overdrainage may be submitted to ventricular shunt (VS) implant with antisiphon device. The objective of this study was to prospectively evaluate for two years the clinical and tomographic results of the implant of fixed-pressure valves with antisiphon device SPHERA® in 35 adult patients, with hydrocephalus and risk factors for overdrainage. Of these, 3 had congenital hydrocephalus in adult patients with very dilated ventricles (Evans index >50%), 3 had symptomatic overdrainage after previous VS implant (subdural hematoma, hygroma or slit ventricle syndrome), 1 had previous chronic subdural hematoma, 15 had normal pressure hydrocephalus with final lumbar pressure <5 cm H2O after tap test (40 mL), 6 had pseudotumor cerebri, and 7 had hydrocephalus due to other causes. Clinical improvement was observed and sustained in 94.3% of the patients during the two-year period with no computed tomography (CT) evidence of hypo or overdrainage, and no immediate early or late significant complications.

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Section: Discussionmentioning

confidence: 99%

Performance of fixed-pressure valve with antisiphon device SPHERA® in hydrocephalus treatment and overdrainage prevention

Pinto

Pereira

Saad

et al. 2012

Arq. Neuro-Psiquiatr.

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“…The induced inflammatory process and death of the parasites cause basal arachnoiditis, which perturbs the free circulation of CSF and caused these two types of symptoms [10]. Symptoms of raised intracranial pressure were among the initial findings in 58.3% of our patients; however, 75% had experienced these symptoms by the end of the follow-up period.…”

Section: Discussionmentioning

confidence: 94%

Clinical Symptoms, Imaging Features and Cyst Distribution in the Cerebrospinal Fluid Compartments in Patients with Extraparenchymal Neurocysticercosis

et al. 2016

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Extraparenchymal neurocysticercosis has an aggressive course because cysts in the cerebrospinal fluid compartments induce acute inflammatory reactions. The relationships between symptoms, imaging findings, lesion type and location remain poorly understood. In this retrospective clinical records-based study, we describe the clinical symptoms, magnetic resonance imaging features, and cyst distribution in the CSF compartments of 36 patients with extraparenchymal neurocysticercosis. Patients were recruited between 1995 and 2010 and median follow up was 38 months. During all the follow up time we found that 75% (27/36) of the patients had symptoms related to raised intracranial pressure sometime, 72.2% (26/36) cysticercotic meningitis, 61.1% (22/36) seizures, and 50.0% (18/36) headaches unrelated to intracranial pressure. Regarding lesion types, 77.8% (28/36) of patients presented with grape-like cysts, 22.2% (8/36) giant cysts, and 61.1% (22/36) contrast-enhancing lesions. Hydrocephalus occurred in 72.2% (26/36) of patients during the follow-up period. All patients had cysts in the subarachnoid space and 41.7% (15/36) had at least one cyst in some ventricle. Cysts were predominantly located in the posterior fossa (31 patients) and supratentorial basal cisterns (19 patients). The fourth ventricle was the main compromised ventricle (10 patients). Spinal cysts were more frequent than previously reported (11.1%, 4/36). Our findings are useful for both diagnosis and treatment selection in patients with neurocysticercosis.

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“…Usualmente, la neurocisticercosis racemosa (sic) es de mal pronóstico, pero cuando se asocia a hidrocefalia, ependimitis o aracnoiditis, infección de la derivación ventrículo-peritoneal o desnutrición, la mortalidad aumenta por encima del 50 % de los casos al cabo de dos años (27,28).…”

Section: Discussionunclassified

Racemose neurocysticercosis - neuroimaging guide the diagnosis

2016

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: revisión bibliográfica, desarrollo de la estructura del manuscrito, revisión y seguimiento de los casos clínicos Sergio Alberto Vargas: diagnóstico neurorradiológico, estructura y revisión del manuscrito Carlos Santiago Uribe: diagnóstico neurológico, revisión y discusión de los casos clínicos La neurocisticercosis es la primera causa de parasitosis del sistema nervioso central y de epilepsia adquirida en países en desarrollo. Sus manifestaciones clínicas, especialmente de la variante racemosa (sic), son pleomorfas e inespecíficas, características que hacen de su diagnóstico un desafío para el clínico. El objetivo de este informe fue describir dos casos de neurocisticercosis racemosa (sic), en los cuales las neuroimágenes permitieron hacer el diagnóstico definitivo. El primer caso se trató de una paciente con cefalea persistente y signos neurológicos focales, que requirió múltiples exámenes paraclínicos para, finalmente, llegar al diagnóstico definitivo de neurocisticercosis racemosa (sic) con vasculitis cerebral secundaria. A pesar del tratamiento médico y quirúrgico, la paciente falleció después de diversas complicaciones. El segundo caso se trató de una paciente con antecedentes de neurocisticerosis, que consultó por vómito crónico incoercible y, también requirió múltiples exámenes paraclínicos para concluir que se trataba de un vómito de origen central, secundario a neurocisticercosis racemosa (sic) y obstrucción del cuarto ventrículo. Después del tratamiento médico y quirúrgico, la paciente presentó una leve mejoría. En estos dos casos se evidenció que la adecuada interpretación de las neuroimágenes es fundamental para el diagnóstico de la neurocisticercosis racemosa (sic).

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Hydrocephalus in neurocysticercosis

Cited by 40 publications

References 82 publications

Performance of fixed-pressure valve with antisiphon device SPHERA® in hydrocephalus treatment and overdrainage prevention

Performance of fixed-pressure valve with antisiphon device SPHERA® in hydrocephalus treatment and overdrainage prevention

Clinical Symptoms, Imaging Features and Cyst Distribution in the Cerebrospinal Fluid Compartments in Patients with Extraparenchymal Neurocysticercosis

Racemose neurocysticercosis - neuroimaging guide the diagnosis

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