School of Medicine, Trinity College Dublin, Dublin, Ireland; Unidad de Investigación de Enfermedades Parasitarias del Sistema Nervioso, Universidad Peruana Cayetano Heredia, Lima, Perú; Centro Básico de Investigación en Exámenes Auxiliares en Parasitosis del Sistema Nervioso, Instituto Nacional de Ciencias Neurológicas, Lima, Perú.
Department of Neurosurgery, Instituto Nacional de Ciencias Neurológicas, Lima, Perú.
World Neurosurg. 2020 Nov;143:180-182. doi: 10.1016/j.wneu.2020.06.217. Epub 2020 Jul 6.
Subarachnoid neurocysticercosis (NCC) is a form of NCC with cysticerci located in the subarachnoid space. This form of NCC can cause general and focal neurologic symptoms, and sometimes requires surgical intervention as a treatment. In this report, we present a rare case of hemifacial spasm secondary to arachnoiditis because of an NCC cyst in the cerebellopontine angle. The cysticercus was removed and the facial nerve was liberated via a retrosigmoidal approach. At 8-month follow-up, the patient reported no recurrence of symptoms. To our knowledge, this is the first case reported to surgically manage hemifacial spasm secondary to NCC arachnoiditis.
脑池型神经囊虫病（NCC）是囊虫位于脑池的一种 NCC 形式。这种 NCC 形式可引起一般性和局灶性神经症状，有时需要手术干预作为治疗手段。在本报告中，我们介绍了一例因小脑脑桥角 NCC 囊肿引起的蛛网膜炎导致的罕见半面痉挛病例。通过乙状窦后入路切除了囊虫并使面神经松解。在 8 个月的随访中，患者报告症状无复发。据我们所知，这是首例报道通过手术治疗 NCC 蛛网膜炎引起的半面痉挛的病例。
