Ventriculoscopic Approach for Intraventricular Neurocysticercosis: A Single Neurosurgical Center's Experience

Li, Zhenye; Li, Chuzhong; Zong, Xuyi; Gui, Songbai; Zhao, Peng; Bai, Jiwei; Cao, Lei; Wang, Xinsheng

doi:10.1016/j.wneu.2017.08.059

Cited by 13 publications

(3 citation statements)

References 16 publications

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“…With endoscopy, it is possible to perform the endoscopic third ventriculostomy (ETV, a communication of the third ventricle directly to the subarachnoid space), creating a bypass for the CSF flow, as well as to mechanically remove cysts inside the ventricles ( Figure 2 ) [ 42 , 43 ]. Reports on ETV for hydrocephalus in NCC indicated significant improvement in symptom resolution (70–95%) and non-requirement of further surgical procedures (0–30%) [ 44 , 45 , 46 ]. In cases with significant inflammatory reactions, there is a risk of ETV failure due to the closure of the ostomy—and a subsequent VP shunt may be required.…”

Section: Treatment Of Hydrocephalus In Nccmentioning

confidence: 99%

Current Role of Surgery in the Treatment of Neurocysticercosis

Hamamoto Filho,

Norcia,

Fleury

et al. 2024

Pathogens

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Neurocysticercosis (NCC) is a common parasitic disease of the central nervous system (CNS) in low- and middle-income countries. The infection is pleomorphic, caused by the larval form of the cestode, Taenia solium, and part of the heterogeneity of its clinical presentations is associated with the localization of the parasite within the CNS. Changes in the current epidemiological trends of NCC indicate that extra-parenchymal NCC is proportionally becoming more frequent. Extraparenchymal NCC is commonly accompanied by raised intracranial hypertension due to hydrocephalus, which is an emergency requiring cyst extirpation by surgical intervention to relieve the symptoms. Although less frequent, parenchymal cysts may also reach giant sizes requiring urgent surgical treatment. Finally, there is an advancement in the comprehension of the association between NCC and epilepsy—and patients with drug-resistant seizures are candidates for surgical treatment. In this narrative review, we summarize the present state of knowledge to update the current trends in the role of surgery in the treatment of NCC.

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Section: Treatment Of Hydrocephalus In Nccmentioning

confidence: 99%

Current Role of Surgery in the Treatment of Neurocysticercosis

Hamamoto Filho,

Norcia,

Fleury

et al. 2024

Pathogens

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“…There are several well-illustrated case series demonstrating the benefits and efficacy of endoscopic surgery for cyst removal. 58 , 59 In cases of free-floating cysts in the lateral ventricles, continuous irrigation allows for recovery of the cysts, which would be hardly achieved with conventional craniotomy approaches.…”

Section: Treatment Optionsmentioning

confidence: 99%

Neurocysticercosis: A Review into Treatment Options, Indications, and Their Efficacy

Filho

Rodríguez-Rivas

Fleury

2022

RRTM

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Neurocysticercosis, due to the localization of Taenia solium larvae in the Central Nervous System, is a neglected tropical disease still endemic in much of Latin America, Asia and sub-Saharan Africa. The therapeutic management of NC has gradually improved with the establishment of neuroimaging studies (CT and MRI) in endemic countries and with the demonstration of the efficacy of albendazole and praziquantel in the 1980s. But the morbidity and mortality of this preventable disease remain an unacceptable fact. In this scoping review, we will revise the different treatment options and their indications.

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“…[2,3] Although the majority of central nervous system neurocystercercosis is intraparenchymal, various studies report up to 33% occur within the ventricular system as seen in this case. [1,4] On routine 3-month follow-up, the patient, without antiparasitics, remained without evidence of neurocystercercosis and at his neurologic baseline [Video 1].…”

Section: Open Accessmentioning

confidence: 99%