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

Ashish Suri, Rohit Kumar Goel, Faiz Uddin Ahmad, Ananth Kesav Vellimana, Bhawani Shankar Sharma, Ashok Kumar Mahapatra

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

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 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.

Original languageEnglish
Pages (from-to)281-285
Number of pages5
JournalChild's Nervous System
Volume24
Issue number2
DOIs
StatePublished - Feb 2008

Keywords

  • Children
  • Cyst
  • Endoscopy
  • Hydrocephalus
  • Intraventricular
  • Neurocysticercosis
  • Third ventriculostomy

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