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 six children with IVNCC managed by endoscopic excision. MATERIALS AND METHODS: A retrospective analysis of six children with IVNCC was performed. The endoscopic technique practiced is described. 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 postoperative 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.
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 six children with IVNCC managed by endoscopic excision. MATERIALS AND METHODS: A retrospective analysis of six children with IVNCC was performed. The endoscopic technique practiced is described. 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 postoperative 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.
Authors: Gabrielle Bonnet; Francesco Pizzitutti; Eloy A Gonzales-Gustavson; Sarah Gabriël; William K Pan; Hector H Garcia; Javier A Bustos; Percy Vilchez; Seth E O'Neal Journal: PLoS Comput Biol Date: 2022-05-19 Impact factor: 4.779
Authors: Sebastian R Herrera; Michael Chan; Ali M Alaraj; Sergey Neckrysh; Michael G Lemole; Sepideh Amin-Hanjani; Konstantin V Slavin; Fady T Charbel Journal: Surg Neurol Int Date: 2010-12-23