Sandoval M, Madrazo I, García-Rentería J A, Maldonado J A, López-Camacho O
Department of Neurosurgery, Hospital de Especialidades La Raza, México, D.F.
Arch Invest Med (Mex). 1991 Apr-Jun;22(2):117-20.
Five patients were studied with the diagnosis of secondary hydrocephaly to neurocysticercosis. Valvular dysfunction was observed due to the obstruction of the ventricular catheter caused by cysticercus cysts. The Biomed System was used in four cases and the Hakim System in one. Valvular dysfunction was observed in patients within a period of 18 to 24 months after derivation, they also had a history of several valvular dysfunctions. The diagnosis was made upon extraction of the catheter where the cyst was found to be attached to the ventricular brush. Subsequent evolution has not been satisfactory. The reasons for this complication are of a hydrodynamic and pharmacological nature and are also due to the growth of the cyst. This complication is not often suspected, therefore we recommend that in cases of frequent valvular dysfunction and asymmetrical hydrocephaly, studies like iodine-tomography or magnetic resonance be carried out in order to rule out this factor.
对5例诊断为神经囊尾蚴病继发脑积水的患者进行了研究。观察到由于囊尾蚴囊肿阻塞脑室导管而导致瓣膜功能障碍。4例使用了生物医学系统，1例使用了哈基姆系统。在分流术后18至24个月内观察到患者出现瓣膜功能障碍，他们也有多次瓣膜功能障碍的病史。诊断是在取出导管时做出的，发现囊肿附着在脑室刷上。随后的病情发展并不理想。这种并发症的原因具有流体动力学和药理学性质，也与囊肿的生长有关。这种并发症并不常被怀疑，因此我们建议，在频繁出现瓣膜功能障碍和不对称脑积水的病例中，应进行碘断层扫描或磁共振成像等检查，以排除这一因素。
