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Endoscopic Management of Intraventricular Neurocysticercosis
Mohammad Kaif1, Mazhar Husain, Bal Krishna Ojha
1Dr. Ram Manohar Lohia Institute of Medical Sciences, Department of Neurosurgery, Lucknow, India.
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 and fourth ventricle) NCC who underwent endoscopic management. The clinical profiles of the patients were evaluated which included age, symptoms and signs. Transcranial endoscopy was performed through a frontal burr hole using a Gaab Universal Endoscope system with rigid 0° and 30° telescope for endoscopic third ventriculostomy and removal of the cyst was described. The mean follow-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 excise all 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 to successfully 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 and associated with high success rate. Endoscopic CSF diversion in NCC related hydrocephalus usually produces a long-term cure.
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