• World Neurosurg · Nov 2017

    Ventriculoscopic approach for intraventricular neurocysticercosis: A single neurosurgical center's experience.

    • Li Zhenye, Li Chuzhong, Zong Xuyi, Gui Songbai, Zhao Peng, Bai Jiwei, Cao Lei, and Wang Xinsheng.
    • Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China; Beijing Neurosurgical Institute, Beijing Institute for Brain Disorders Brain Tumor Center, China National Clinical Research Center for Neurological Diseases, Beijing, China.
    • World Neurosurg. 2017 Nov 1; 107: 853-859.

    ObjectiveTo retrospectively analyze patients with intraventricular neurocysticercosis (NCC) who underwent a ventriculoscopic approach at a single neurosurgical center and assess the efficacy of this treatment in patients with intraventricular NCC.MethodsPatients with intraventricular NCC patients who underwent surgery via a ventriculoscopic approach between January 2008 and March 2014 at Beijing Tiantan Hospital were analyzed.ResultsA total of 21 patients with intraventricular NCC (15 men and 6 women; mean age, 38.0 ± 16.8 years; range, 9-65 years) were enrolled in the study. Ten of the patients underwent complete resection. The median progression-free survival (PFS) was 53.7 months (95% confidence interval, 31.7-75.6 months). On univariate analysis, PFS was better in the patients who underwent total NCC resection compared with those who underwent nontotal resection (P < 0.05).ConclusionsThe ventriculoscopic approach to NCC resection is an effective technique with unique advantages for intraventricular NCC. Radical resection is necessary for intraventricular NCC. Combined application of rigid and flexible endoscopes can improve the total removal rate of intraventricular NCC.Copyright © 2017. Published by Elsevier Inc.

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