Zumaeta Jorge, Contreras Camilo, Tapia Paola, Morales Diego, Santiago Rea Noe, Valerio Jose
Neurological Surgery, Latinoamerica Valerio Foundation, Weston, USA.
Vascular, Tumors and Functional Neurosurgery Service, Guillermo Almenara Irigoyen National Hospital, Lima, PER.
Cureus. 2024 Oct 8;16(10):e71090. doi: 10.7759/cureus.71090. eCollection 2024 Oct.
Neurocysticercosis is the most common parasitic infestation of the central nervous system and is often asymptomatic. A giant presentation, defined as a cyst measuring 4 cm or more in its largest dimension, is a rare entity. The mass effect of such lesions can lead to neurological deterioration, making surgical resection necessary. We present three cases of neurocysticercosis with giant cystic lesions located intracranially, which caused significant mass effects. The patients primarily exhibited impaired consciousness, motor deficits, and seizures. All three patients underwent craniotomy for the resection of the cystic lesions, resulting in favorable outcomes and recovery of neurological function. The management of giant intracranial neurocysticercosis with substantial mass effect should be surgical. Adequate surgical resection can lead to significant neurological recovery for the patient.
神经囊尾蚴病是中枢神经系统最常见的寄生虫感染，通常无症状。巨大型表现定义为最大直径达4厘米或更大的囊肿，是一种罕见情况。此类病变的占位效应可导致神经功能恶化，因此需要进行手术切除。我们报告三例颅内巨大囊性病变的神经囊尾蚴病病例，这些病变引起了显著的占位效应。患者主要表现为意识障碍、运动功能缺损和癫痫发作。所有三名患者均接受了开颅手术以切除囊性病变，结果良好，神经功能得以恢复。对于具有显著占位效应的颅内巨大神经囊尾蚴病，治疗应采取手术方式。充分的手术切除可使患者的神经功能得到显著恢复。
