• Childs Nerv Syst · Feb 2008

    Case Reports

    Endoscopic excision of intraventricular neurocysticercosis in children: a series of six cases and review.

    • Ashish Suri, Rohit Kumar Goel, Faiz Uddin Ahmad, Ananth Kesav Vellimana, Bhawani Shankar Sharma, and Ashok Kumar Mahapatra.
    • Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110 029, India. surineuro@hotmail.com
    • Childs Nerv Syst. 2008 Feb 1;24(2):281-5.

    ObjectsNeurocysticercosis (NCC) affects both adults and children, but it is uncommon in childhood. The clinical presentation and management of intraventricular neurocysticercosis (IVNCC) in children has not been described adequately. We, therefore, present our series of six children with IVNCC managed by endoscopic excision.Materials And MethodsA retrospective analysis of six children with IVNCC was performed. The endoscopic technique practiced is described. Complete excision of the intraventricular cyst was performed in all patients. Simultaneously, five endoscopic third ventriculostomies, one septostomy, and one foramenotomy were performed. There were no perioperative and postoperative complications. Mean follow-up duration was 24.8 months. Clinical improvement was seen in all children, and none required shunting. Follow-up radiology showed no residual lesion and decreased ventricle size in all patients.ConclusionEndoscopic IVNCC cyst excision along with internal CSF diversion is a safe and effective option and avoids shunt and its related complications in these children.

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