Chugh Ashish, Gotecha Sarang, Punia Prashant, Raghu Vybhav, Patil Anil, Kotecha Megha
Department of Neurosurgery, Dr. D. Y. Patil Medical College and Hospital, Sant Tukaram Nagar, Pimpri Pune, Maharashtra, India.
Department of Neurosurgery Ophthalmology, Dr. D. Y. Patil Medical College and Hospital, Sant Tukaram Nagar, Pimpri Pune, Maharashtra, India.
J Pediatr Neurosci. 2021 Oct-Dec;16(4):311-314. doi: 10.4103/jpn.JPN_196_20. Epub 2021 Jul 19.
Brun's syndrome is a phenomenon characterized by sudden onset of severe headache, vomiting associated to a vestibular syndrome triggered by an abrupt movement of the head.
We present a case of a 12-year-old female patient with headache, vertigo, and vomiting; magnetic resonance imaging (MRI) was suggestive of a cystic intraventricular mass in the frontal horn of the left lateral ventricle. The patient underwent endoscopic exploration for the excision of cyst with complete postoperative recovery and histopathology suggestive of intraventricular neurocysticercosis.
Brun's syndrome is caused by a mobile deformable intraventricular mass leading to an episodic obstructive hydrocephalus resulting from an intermittent or positional CSF obstruction with elevation of intracranial pressure due to the ball valve mechanism. Treatment is mainly surgical, preferably by the neuroendoscopic technique as it has an advantage of performing septostomies and third ventriculostomies in addition to cyst removal, making this procedure practical for most cases of ventricular cysticercosis even in emergencies.
布伦氏综合征是一种以突然出现严重头痛、与头部突然运动引发的前庭综合征相关的呕吐为特征的现象。
我们报告一例12岁女性患者，有头痛、眩晕和呕吐症状；磁共振成像（MRI）提示左侧脑室额角有一个囊性脑室内肿块。该患者接受了内镜探查以切除囊肿，术后完全康复，组织病理学提示脑室内神经囊尾蚴病。
布伦氏综合征由可移动的可变形脑室内肿块引起，导致间歇性或体位性脑脊液梗阻，因球阀机制致使颅内压升高，进而引发发作性梗阻性脑积水。治疗主要是手术治疗，最好采用神经内镜技术，因为它除了能切除囊肿外，还有进行造瘘术和第三脑室造瘘术的优势，这使得该手术即使在紧急情况下对大多数脑室囊尾蚴病病例也切实可行。
