Goulart Lissa C, Vieira Netto Luiz A, Dias Caio R G, Moraes Luiza F M, Marques Romulo A S, Leão Simon T S L, Alencar Helioenai S, Godoy Cássia S M, Cavalcante Rodrigo A C
1Department of Neurological Surgery, Clinics Hospital of the Faculty of Medicine, Federal University of Goiás, Goiânia, Goiás, Brazil.
2Faculty of Medicine, Federal University of Goiás, Goiânia, Goiás, Brazil.
J Neurosurg Case Lessons. 2022 Apr 11;3(15). doi: 10.3171/CASE2229.
Neurocysticercosis (NCC) is an infectious parasitic disease in which humans are the middle host in the life cycle of Taenia solium. It is currently considered to be a neglected tropical disease. According to their location, cysts can cause epilepsy, hydrocephalus, arachnoiditis, and intracranial hypertension. The subarachnoid is the rarest and most morbid form among all forms of NCC presentation.
The authors report an odd case of subarachnoid NCC (SUBNCC). It was treated with expanded endoscopic endonasal surgery. Unfortunately, the patient developed a high-output nasal leak and meningitis after cyst removal, which demanded additional surgical procedures. Nonetheless, the patient showed a good clinical outcome after surgical interventions.
Endoscopic endonasal approach of SUBNCC can be safe and curative. Neverthless, the presented report shows that severe complications can arise from the procedure. The authors hypothesized that placing an early cerebrospinal shunt would reduce the patient's morbidity before difficulties arose.
神经囊尾蚴病（NCC）是一种感染性寄生虫病，人类是猪带绦虫生命周期中的中间宿主。它目前被认为是一种被忽视的热带病。根据囊肿的位置，可导致癫痫、脑积水、蛛网膜炎和颅内高压。蛛网膜下腔型是所有NCC表现形式中最罕见且病情最严重的一种。
作者报告了一例罕见的蛛网膜下腔神经囊尾蚴病（SUBNCC）病例。该病例采用扩大经鼻内镜手术治疗。不幸的是，患者在囊肿切除后出现了高流量鼻漏和脑膜炎，需要进行额外的手术。尽管如此，患者在手术干预后显示出良好的临床结果。
经鼻内镜治疗SUBNCC可以是安全且有效的。然而，本报告表明该手术可能会引发严重并发症。作者推测，在困难出现之前早期放置脑脊液分流管可降低患者的发病率。
