经内镜切除脑室内神经囊尾蚴病：曙光在前。
Endoscopic Route for Excision of Intraventricular Neurocysticercosis: Light at the End of the Tunnel.
作者信息
Singh Suyash, Marutirao Raghvendra, Deora Harsh, Das Kuntal K, Bhaisora Kamlesh S, Sardhara Jayesh, Parab Abhijit, Mehrotra Anant, Srivastava Arun K, Jaiswal Sushila, Behari Sanjay, Jaiswal Awadhesh K
机构信息
Department of Neurosurgery, SGPGI, Lucknow, India.
Department of Neurosurgery, SGPGI, Lucknow, India.
出版信息
World Neurosurg. 2019 May;125:e74-e81. doi: 10.1016/j.wneu.2018.12.191. Epub 2019 Jan 24.
BACKGROUND
Poor sanitation, poor hygiene, and archaic cooking practices have led to neurocysticercosis (NCC) being endemic in India. Apart from a cortical location that leads to seizures, intraventricular NCC can present with hydrocephalus and sudden deterioration in sensorium. Consequently, endoscopic excision plays an important role in its treatment because a dilated ventricle offers a minimally invasive and less traumatic route to the pathology.
METHODS
All endoscopically excised intraventricular NCC cases operated were retrospectively analyzed from 2014 to 2017, discussing surgical nuances and postoperative outcome.
RESULTS
Twelve such cases were found (mean age, 21.9 ± 8.36 years; 9 men and 3 women). The mean follow-up period was 21.17 ± 13.96 months (range, 2-40 months). The most common site was the aqueduct and fourth ventricle.
CONCLUSIONS
An endoscopic approach is a feasible and safe tool for treating this disease. Technical nuances such as entry point and trajectory of endoscope need to be kept in mind while operating.
背景
卫生条件差、个人卫生习惯不良以及陈旧的烹饪方式导致神经囊尾蚴病（NCC）在印度呈地方性流行。除了位于皮质导致癫痫发作外，脑室内神经囊尾蚴病可表现为脑积水和意识突然恶化。因此，内镜切除在其治疗中发挥着重要作用，因为扩张的脑室为病变提供了一条微创且创伤较小的途径。
方法
对2014年至2017年所有接受内镜切除的脑室内神经囊尾蚴病手术病例进行回顾性分析，探讨手术细节和术后结果。
结果
共发现12例此类病例（平均年龄21.9±8.36岁；9例男性，3例女性）。平均随访期为21.17±13.96个月（范围2 - 40个月）。最常见的部位是导水管和第四脑室。
结论
内镜治疗是治疗该病的一种可行且安全的方法。手术时需要牢记内镜的切入点和路径等技术细节。
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