Shakya Sasa, Gurung Pritam, Shrestha Dinuj, Rajbhandhari Pravesh, Pant Basant
Department of Neurosurgery, Annapurna Neurological Institute and Allied Sciences, Maitighar, Kathmandu, Nepal.
Asian J Neurosurg. 2021 Feb 23;16(1):204-207. doi: 10.4103/ajns.AJNS_423_20. eCollection 2021 Jan-Mar.
Neurocysticercosis (NCC) commonly presents with seizures in developing countries such as Nepal. It may also present with raised intracranial pressure due to obstructive hydrocephalus when cyst is located in the fourth ventricle or foramen of Monro. There are four main stages of NCC (1) Vesicular, (2) Colloidal vesicular, (3) Granular nodular, and (4) Nodular calcified. The colloidal vesicular stages can cause arachnoiditis and thus can cause hydrocephalus whereas obstructive hydrocephalus is usually caused by racemose type of NCC. This case was a suprasellar cyst mimicking craniopharyngioma, supported with clinical history of poor visual acuity, endocrine abnormality, suggested radiological findings by computed tomography scan, and magnetic resonance imaging. Suprasellar NCC was confirmed only by intraoperative findings and histopathology report.
在尼泊尔等发展中国家，神经囊尾蚴病（NCC）通常表现为癫痫发作。当囊肿位于第四脑室或孟氏孔时，也可能因梗阻性脑积水而出现颅内压升高。NCC有四个主要阶段：（1）囊泡期，（2）胶样囊泡期，（3）颗粒结节期，（4）结节钙化期。胶样囊泡期可引起蛛网膜炎，进而导致脑积水，而梗阻性脑积水通常由葡萄状NCC引起。该病例为鞍上囊肿，酷似颅咽管瘤，有视力差、内分泌异常的临床病史，计算机断层扫描和磁共振成像提示影像学表现支持这一诊断。鞍上NCC仅通过术中发现和组织病理学报告得以确诊。
