Zee C S, Segall H D, Apuzzo M L, Ahmadi J, Dobkin W R
AJNR Am J Neuroradiol. 1984 Nov-Dec;5(6):727-30.
Intraventricular cysticercosis is potentially lethal. Six of 46 patients died from acute hydrocephalus shortly after hospital admission. The need for early computed tomographic scanning in immigrants from endemic areas complaining of headaches is emphasized by this experience. If time has elapsed since the initial diagnosis, these cysts may migrate within the ventricular system. Reconfirmation of the location of an intraventricular cysticercal cyst is advisable before surgery. Contrast enhancement of an intraventricular cysticercal cyst implies associated granular ependymitis. Surgical removal of such cysts probably should not be attempted as long as the cysts are not causing significant mass effect with neurologic signs and symptoms. Shunting alone is advocated for the treatment of hydrocephalus.
脑室内囊尾蚴病有潜在致死性。46例患者中有6例在入院后不久死于急性脑积水。这段经历强调了对来自流行地区且主诉头痛的移民进行早期计算机断层扫描的必要性。如果自最初诊断以来已经过了一段时间，这些囊肿可能会在脑室系统内迁移。手术前建议再次确认脑室内囊尾蚴囊肿的位置。脑室内囊尾蚴囊肿的对比增强意味着伴有颗粒性室管膜炎。只要囊肿未引起明显的占位效应及神经体征和症状，可能不应尝试手术切除此类囊肿。对于脑积水的治疗，主张单独进行分流术。
