Endoscopic Management of Intraventricular Neurocysticercosis

Özet

AIM: To evaluate the technique and outcome of endoscopic management of intraventricular neurocysticercosis (NCC).MATERIAL and METHODS: We retrospectively analysed the records of 30 consecutive patients of intraventricular (intra-third andfourth ventricle) NCC who underwent endoscopic management. The clinical profiles of the patients were evaluated which includedage, symptoms and signs. Transcranial endoscopy was performed through a frontal burr hole using a Gaab Universal Endoscopesystem with rigid 0° and 30° telescope for endoscopic third ventriculostomy and removal of the cyst was described. The meanfollow-up period was 22.6 months.RESULTS: In 86.67% (26/30) patients we are able to visualize/excise/decompress the cyst. We were able to successfully exciseall the third ventricular cysts (16/16) and in 66.67% (8/12) of the fourth ventricular cysts. In 90% (27/30) patients we were able tosuccessfully divert the CSF flow and achieve long-term shunt free period.CONCLUSION: We found that endoscopic cerebrospinal fluid (CSF) diversion in cases of intraventricular NCC is feasible andassociated with high success rate. Endoscopic CSF diversion in NCC related hydrocephalus usually produces a long-term cure.