Choi John, Cullen Grace, Darbonne Dawn, Adams Dennis, Coyle Christina, Cooper Joseph, Singh Harminder
Departments of1Neurosurgery, and.
2Division of Infectious Diseases and Geographic Medicine, Stanford University, Stanford, California.
J Neurosurg Case Lessons. 2024 Apr 8;7(15). doi: 10.3171/CASE23769.
Neurocysticercosis is a parasitic infection of the central nervous system. Cysts located in the ventricles, intraventricular neurocysticercosis (IVNCC), can cause symptoms of increased intracranial pressure and, if untreated, can be fatal. Neuroendoscopic removal of IVNCC is recommended as the first-line treatment.
The authors present the case of a healthy 30-year-old male originally from Mexico who presented with headaches and vomiting. He was found to have a cyst in the third ventricle on imaging, consistent with IVNCC. The authors successfully performed neuroendoscopic surgery with removal of the cyst en bloc.
A multidisciplinary team of neurosurgery and infectious disease specialists is recommended for successful management of patients with IVNCC. These patients typically require neuroendoscopic surgical removal for definitive treatment. In this case, the authors show surgery resulted in an effective cure without the need for antiparasitic medication and excellent long-term outcomes.
神经囊尾蚴病是一种中枢神经系统的寄生虫感染。位于脑室的囊肿，即脑室内神经囊尾蚴病（IVNCC），可导致颅内压升高的症状，若不治疗可能致命。神经内镜切除IVNCC被推荐作为一线治疗方法。
作者报告了一名原本来自墨西哥的30岁健康男性病例，该患者出现头痛和呕吐症状。影像学检查发现其第三脑室内有一个囊肿，符合IVNCC。作者成功进行了神经内镜手术，完整切除了囊肿。
建议由神经外科和传染病专家组成的多学科团队来成功管理IVNCC患者。这些患者通常需要神经内镜手术切除以进行确定性治疗。在该病例中，作者表明手术实现了有效治愈，无需使用抗寄生虫药物，且长期效果良好。
