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Emergency Neuroendoscopic Management of Third Ventricular Neurocysticercosis Cyst Presented with Bruns Syndrome : Report of Two Cases and Review of Literature

  • Teegala, Ramesh (Department of Neurosurgery, Alluri Sita Ramaraju Academy of Medical Sciences (ASRAM)) ;
  • Rajesh, K. Ghanta (Department of Neurosurgery, Suraksha Hospital) ;
  • Raviprasad, V. Yerramsetty (Department of Neurosurgery, Jayasree Neuro Centre) ;
  • Chennappa, Yemba (Department of Pathology, Alluri Sita Ramaraju Academy of Medical Sciences (ASRAM))
  • 투고 : 2013.01.16
  • 심사 : 2014.02.28
  • 발행 : 2014.03.28

초록

Neurocysticercosis is the commonest parasitic disease of the human central nervous system. The incidence of intra ventricular form of neurocysticercosis (NCC) is less common accounting 10-20% that of total central nerve system cysticercosis. Intra ventricular NCC is complicated due, to its high incidence of acute hydrocephalus caused by ball valve mechanism. The only reliable tool for diagnosis of NCC is by neuroimaging with CT or MRI. MRI preferred over CT because of its high specificity and sensitivity. In emergency situations like acute hydrocephalus one can proceed with emergency endoscopic surgery. Through the endoscopic view, intra ventricular NCC (IVNCC) has distinguished morphological features like the full moon sign. This feature not only helps in identification of IVNCC, but also guides in further endoscopic treatment strategy. Authors report two cases of 3rd ventricular NCC with acute hydrocephalus managed with emergency endoscopy. Authors have discussed the clinical features, intra operative endoscopic findings and role of endoscopy in emergency surgery for NCC with acute hydrocephalus.

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참고문헌

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피인용 문헌

  1. Intraventricular Taenia solium Cysts Presenting with Bruns Syndrome and Indications for Emergent Neurosurgery vol.92, pp.6, 2014, https://doi.org/10.4269/ajtmh.14-0842
  2. Twenty-five years of evolution of standard diagnostic criteria for neurocysticercosis. How have they impacted diagnosis and patient outcomes? vol.20, pp.2, 2014, https://doi.org/10.1080/14737175.2020.1707667
  3. A case of racemose and intraventricular neurocysticercosis in an unusual location vol.25, pp.1, 2014, https://doi.org/10.4102/sajr.v25i1.2171