Emergency Neuroendoscopic Management of Third Ventricular Neurocysticercosis Cyst Presented with Bruns Syndrome : Report of Two Cases and Review of Literature.
10.3340/jkns.2014.55.3.173
- Author:
Ramesh TEEGALA
1
;
K Ghanta RAJESH
;
V Yerramsetty RAVIPRASAD
;
Yemba CHENNAPPA
Author Information
1. Department of Neurosurgery, Alluri Sita Ramaraju Academy of Medical Sciences (ASRAM), Eluru, India. teegalar@gmail.com
- Publication Type:Case Report
- Keywords:
Neurocysticercosis;
Intra ventricular NCC;
Acute hydrocephalus;
Neuroendoscopy;
Bruns syndrome;
Full moon sign
- MeSH:
Central Nervous System;
Cysticercosis;
Diagnosis;
Emergencies*;
Endoscopy;
Humans;
Hydrocephalus;
Incidence;
Magnetic Resonance Imaging;
Neurocysticercosis*;
Neuroendoscopy;
Neuroimaging;
Parasitic Diseases;
Sensitivity and Specificity
- From:Journal of Korean Neurosurgical Society
2014;55(3):173-177
- CountryRepublic of Korea
- Language:English
-
Abstract:
Neurocysticercosis is the commonest parasitic disease of the human central nervous system. The incidence of intra ventricular form of neurocysticercosis (NCC) is less common accounting 10-20% that of total central nerve system cysticercosis. Intra ventricular NCC is complicated due, to its high incidence of acute hydrocephalus caused by ball valve mechanism. The only reliable tool for diagnosis of NCC is by neuroimaging with CT or MRI. MRI preferred over CT because of its high specificity and sensitivity. In emergency situations like acute hydrocephalus one can proceed with emergency endoscopic surgery. Through the endoscopic view, intra ventricular NCC (IVNCC) has distinguished morphological features like the full moon sign. This feature not only helps in identification of IVNCC, but also guides in further endoscopic treatment strategy. Authors report two cases of 3rd ventricular NCC with acute hydrocephalus managed with emergency endoscopy. Authors have discussed the clinical features, intra operative endoscopic findings and role of endoscopy in emergency surgery for NCC with acute hydrocephalus.
