Surgical treatment and effect analysis of neurocysticercosis in 28 cases
LI Chu-zhong
LIU Chun-hui
ZONG Xu-yi
GUI Song-bai
BAI Ji-wei
CAO lei
WANG Xin-sheng
Abstract：Objective To summarize the surgical treatment methods of the intracranial neurocysticercosis and to ana -lyze the therapeutic effect .Methods Twenty-eight patients with intracranial neurocysticercosis who received surgeries were analyzed , including 6 cases of microscopic resection of cysticercosis , 6 cases of ventriculoperitoneal ( VP) shunt , 14 cases of third ventriculostomy ( ETV) and 2 endoscopic resection of cysticercosis .All patients were followed up and the therapeutic effect was observed .Results The perioperative complications were found , including 2 cases of intracranial in-fection, 6 cases of headache , 2 cases of transient oculomotor paralysis , 1 case of subdural effusion and 1 case of heavy hy-drocephalus .After a follow-up of 23 patients for 12-84 months, the clinical symptomatic improvement occurred in 19 cases, no change in 3 cases and 1 case of death .The clinical symptoms and signs were improved in patients who received micro-scopic resection of cysticercosis or simple endoscopic resection of cysticercosis .In the 6 patients receiving VP , 2 patients had to receive another operation because of shunt obstruction .In the 14 patients receiving ETV , 6 patients received VP shunts suffering from deterioration of hydrocephalus symptoms , and the symptoms and signs were improved after the second treatment.Conclusions According to the area of intracranial neurocysticercosis , clinical and imaging manifestations , the personalized choice of the surgical methods has the good effect .
Keywords：cysticercosisneurocysticercosisresection of cysticercosisventriculoperitoneal shuntthird ventriculostomy
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 37-39,40 )