Thibault Drew, Ravina Kristine, Cuoco Joshua A, Adhikari Srijan, Stump Michael S, Rogers Cara M
Liberty University College of Osteopathic Medicine, Lynchburg, Virginia.
Department of Neurosurgery, Carilion Clinic, Virginia Tech Carilion School of Medicine, Roanoke, Virginia.
J Neurosurg Case Lessons. 2024 Oct 28;8(18). doi: 10.3171/CASE24489.
Neurocysticercosis is a parasitic infection of the central nervous system caused by the helminth Taenia solium. Racemose neurocysticercosis is a rare form of the disease that specifically involves cerebrospinal fluid-filled spaces in the brain and carries a high rate of complications and mortality.
This report describes the case of a 37-year-old man who developed headaches and nausea, which were found to be secondary to racemose neurocysticercosis. He ultimately required an endoscopic third ventriculostomy, which provided transient symptom relief. In the weeks following the procedure, his symptoms returned, at which point a recommendation to proceed with a ventriculoperitoneal shunt was made.
The presentation of racemose neurocysticercosis is wide-ranging and often nonspecific. Patients who respond well to initial surgical management with endoscopic third ventriculostomy can still require more durable measures, such as a ventriculoperitoneal shunt, in the following months. https://thejns.org/doi/10.3171/CASE24489.
神经囊尾蚴病是由蠕虫猪带绦虫引起的中枢神经系统寄生虫感染。葡萄状神经囊尾蚴病是该疾病的一种罕见形式，特别累及脑内充满脑脊液的间隙，并发症发生率和死亡率很高。
本报告描述了一名37岁男性的病例，他出现头痛和恶心，经检查发现是由葡萄状神经囊尾蚴病继发引起。他最终需要进行内镜下第三脑室造瘘术，该手术暂时缓解了症状。在术后几周，他的症状复发，此时建议进行脑室腹腔分流术。
葡萄状神经囊尾蚴病的表现多种多样，且通常不具有特异性。对内镜下第三脑室造瘘术初始手术治疗反应良好的患者，在接下来的几个月里仍可能需要更持久的治疗措施，如脑室腹腔分流术。https://thejns.org/doi/10.3171/CASE24489 。
