Turkish Neurosurgery
Endoscopic Management of Intraventricular Neurocysticercosis
Mohammad KAIF1, Mazhar HUSAIN1, Bal Krishna OJHA1
1Doctor Ram Manohar Lohia Institute of Medical Sciences, Neurosurgery, lucknow,
DOI: 10.5137/1019-5149.JTN.21389-17.3

Abstract Objective Restoration of CSF flow and removal of Intraventricular Cystecercal Cyst is the main goal in treatment Hydrocephalus due Intraventricular Neurocysticercosis. The purpose of this study was to evaluate the technique and outcome of Endoscopic management of Intraventricular Neurocysticercosis. Methods We retrospectively analysed the records of 30 consecutive patients of Intraventricular Intra third and fourth ventricle Neurocysticercosiswho underwent endoscopic management.The clinical profile of the patient were evaluated which included age, symptoms and signs. Transcranial endoscopy was perfomed through frontal burr hole using Gaab Universal Endoscope system with rigid 0o and 30o telescope for ETV and removal of cyst was described. The mean follow up was 22.6 months Results In 86.67 % (26/30) patients we are able to visualize/ excise/ decompress the cyst. We were able to successfully excise all the third ventricular cysts (16/16) and in 66.67% (8/12) of the fourth ventricular cysts.In 90% (27/30) patients we were able to successfully divert the CSF flow and achieve long term shunt free period. Conclusion We found that endoscopic CSF diversion in cases of Intraventricular NCC is feasible and associated with high success rate. Endoscopic CSF diversion in NCC related hydrocephalus usually produces a long term cure.

Corresponding author : Mohammad KAIF