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

Goel, Rohit Kumar; Suri, Ashish; Sharma, Bhawani Shankar; Mahapatra, Ashok Kumar
July 2007
Journal of Pediatric Neurosciences;Jul-Dec2007, Vol. 2 Issue 2, p105
Academic Journal
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.


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