TITLE

Endoscopic excision of intraventricular neurocysticercosis in children: A series of 6 cases and review

AUTHOR(S)
Goel, Rohit Kumar; Suri, Ashish; Sharma, Bhawani Shankar; Mahapatra, Ashok Kumar
PUB. DATE
July 2007
SOURCE
Journal of Pediatric Neurosciences;Jul-Dec2007, Vol. 2 Issue 2, p105
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
OBJECTS: Neurocysticercosis (NCC) affects both adults and children, but it is uncommon in childhood. The clinical presentation and management of intraventricular neurocysticercosis (IVNCC) in children has not been described adequately. We therefore present our series of 6 children with IVNCC managed by endoscopic excision. MATERIALS AND METHODS: A retrospective analysis of 6 children with IVNCC was performed. The endoscopic technique practiced is described. RESULTS: Complete excision of the intraventricular cyst was performed in all patients. Simultaneously five endoscopic third ventriculostomies, one septostomy and one foramenotomy were performed. There were no perioperative and post-operative complications. Mean follow up duration was 24.8 months. Clinical improvement was seen in all children and none required shunting. Follow up radiology showed no residual lesion and decreased ventricle size in all patients. CONCLUSION: Endoscopic IVNCC cyst excision along with internal CSF diversion is a safe and effective option and avoids shunt and its related complications in these children.
ACCESSION #
27450655

 

Related Articles

  • Endoscopic management of intra and paraventricular CSF cysts. G. Tamburrini; L. D’Angelo; G. Paternoster; L. Massimi; M. Caldarelli; C. Di Rocco // Child's Nervous System;Jun2007, Vol. 23 Issue 6, p645 

    Abstract Background  The management of intra- and paraventricular lesions is one of the fields in which modern neuroendoscopic techniques have given the most significant contribution in terms of reduction in operative invasiveness and postoperative complications. In this context, fluid...

  • Transventricular neuroendoscopic excision of giant racemose subarachnoid cysticercosis. Angeles, Carmina F.; Vollmer, Dennis; Mohanty, Aaron // Child's Nervous System;Apr2009, Vol. 25 Issue 4, p503 

    Subarachnoid cysticercosis, an uncommon form of neurocysticercosis, can occasionally grow to giant size causing mass effect and obstructive hydrocephalus. These often require surgical excision to relieve the mass effect and re-establish the cerebrospinal fluid (CSF) pathways. The authors report...

  • Surgical results of an endoscopic endonasal approach for clival chordomas. Saito, Katsuya; Toda, Masahiro; Tomita, Toshiki; Ogawa, Kaoru; Yoshida, Kazunari // Acta Neurochirurgica;May2012, Vol. 154 Issue 5, p879 

    Background: The surgical approaches for clival chordomas remain controversial, although the extent of resection is one of the most important factors for long survival rates. Recently an endoscopic endonasal approach in good collaboration with otolaryngologists has attracted major attention as a...

  • Detection of Taenia solium Antigens and Anti-T. solium Antibodies in Paired Serum and Cerebrospinal Fluid Samples from Patients with Intraparenchymal or Extraparenchymal Neurocysticercosis. Rodriguez, Silvia; Dorny, Pierre; Tsang, Victor C. W.; Pretell, E. Javier; Brandt, Jef; Lescano, Andres G.; Gonzalez, Armando E.; Gilman, Robert H.; Garcia, Hector H. // Journal of Infectious Diseases;5/1/2009, Vol. 199 Issue 9, p1345 

    Background. Neurocysticercosis (NCC) is a frequent cause of epilepsy worldwide. Compared with the more common parenchymal brain cysts, extraparenchymal infections are difficult to manage and have a poor prognosis. Serological assays are used to detect circulating Taenia solium antigens or...

  • Endoscopic third ventriculostomy versus ventriculoperitoneal shunt in pediatric patients: a decision analysis. Drake, James M.; Kulkarni, Abhaya V.; Kestle, John // Child's Nervous System;Apr2009, Vol. 25 Issue 4, p467 

    Uncertainty persists on the best treatment for patients with obstructive hydrocephalus: endoscopic third ventriculostomy (ETV) or shunt, particularly in the younger age groups. We performed decision analysis for quality of life (QOL) outcomes comparing these two procedures. Frequency of outcome...

  • Assessment of endoscopic treatment for middle cranial fossa arachnoid cysts. Gui, Song-bai; Wang, Xin-sheng; Zong, Xu-yi; Li, Chu-zhong; Li, Bo; Zhang, Ya-zhuo // Child's Nervous System;Jul2011, Vol. 27 Issue 7, p1121 

    Background: Endoscopic cystocisternotomy is one of three surgical methods used to treat middle cranial fossa arachnoid cysts. There is debate about which method is the best. Objective: The aim of this study is to evaluate the effectiveness and safety of endoscopic cystocisternotomy for treatment...

  • Individual surgical treatment of intracranial arachnoid cyst in pediatric patients. Chao Wang; Guoqiang Han; Chao You; Chuangxi Liu; Jun Wang; Yunbiao Xiong // Neurology India;Jul/Aug2013, Vol. 61 Issue 4, p400 

    Background and Aim: Intracranial arachnoid cysts (IAC) are benign congenital cystic lesions filled with cerebrospinal fluid (CSF). This study evaluated microsurgical craniotomy and endoscopy in the surgical treatment of IAC. Materials and Methods: Eight-one consecutive pediatric patients with...

  • Neurocysticercosis. Leonard, Ronald; Adickes, Edward D.; Brumback, Roger A. // Journal of Child Neurology;Jul2006, Vol. 21 Issue 7, p589 

    The article focuses on a study of the brain of a 17-year old Mexican immigrant boy who was diagnosed with stage IVB nodular sclerosing Hodgkin's disease before his death which shows numerous lesions associated to neurocysticercosis. The boy has responded poorly to the chemotherapy regimen and...

  • Endoscopic Transpterygoid Approach to the Lateral Sphenoid Recess. Bolger, William E.; Osenbach, Richard // ENT: Ear, Nose & Throat Journal;Jan1999, Vol. 78 Issue 1, p36 

    Presents information on an experience in using an endoscopic transpterygoid approach in a patient with cerebrospinal fluid leak and seizures. Case report; Surgical approach; Results; Discussion on the controversy over the exact mechanism of spontaneous encephalocele formation; Clinical points...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics