PDF(Pubmed)
Abstract：
UNASSIGNED: Cysticercosis, caused by the larval stage of Taenia solium, is a prevalent parasitic infection affecting the central nervous system, primarily in low-income countries. Surgical intervention becomes necessary when cysticercosis manifests within the ventricular system, with endoscopic techniques increasingly preferred over traditional microsurgical methods due to lower risks and morbidity. However, the microsurgical transcallosal approach, although effective, is infrequently used due to its associated high morbidity.
UNASSIGNED: We present two cases of multiple intraventricular neurocysticercosis treated through an open microsurgical technique using a transcallosal interhemispheric approach. Patient 1, a 56-year-old male, presented with severe headaches persisting for 6 months, while Patient 2, a 54-year-old male, experienced a sudden decrease in consciousness. Both patients exhibited typical magnetic resonance imaging characteristics indicative of intraventricular neurocysticercosis, leading to the decision for surgical resection.
UNASSIGNED: Despite the transcallosal approach\'s decreased popularity due to associated risks, we achieved relatively good outcomes with minimal morbidity in both cases. Our experience highlights the importance of considering microsurgical approaches, particularly in facilities lacking endoscopic instrumentation, for the effective management of intraventricular neurocysticercosis. Compliance with postoperative medical therapy remains crucial to prevent recurrence.
UNASSIGNED: We present two cases of multiple intraventricular neurocysticercosis treated through an open microsurgical technique using a transcallosal interhemispheric approach. Patient 1, a 56-year-old male, presented with severe headaches persisting for 6 months, while Patient 2, a 54-year-old male, experienced a sudden decrease in consciousness. Both patients exhibited typical magnetic resonance imaging characteristics indicative of intraventricular neurocysticercosis, leading to the decision for surgical resection.
UNASSIGNED: Despite the transcallosal approach\'s decreased popularity due to associated risks, we achieved relatively good outcomes with minimal morbidity in both cases. Our experience highlights the importance of considering microsurgical approaches, particularly in facilities lacking endoscopic instrumentation, for the effective management of intraventricular neurocysticercosis. Compliance with postoperative medical therapy remains crucial to prevent recurrence.
摘要：
■囊虫病，由猪带虫幼虫期引起的，是一种影响中枢神经系统的普遍寄生虫感染，主要是低收入国家。当囊虫病在脑室系统内出现时，手术干预变得必要，由于风险和发病率较低，内窥镜技术越来越优于传统的显微外科手术方法。然而,显微手术经callosal入路，虽然有效,由于其相关的高发病率而不经常使用。
■我们介绍了2例多发性脑室内囊虫病的病例，这些病例是通过开放的显微外科技术使用经call囊半球间方法治疗的。病人156岁男性,严重头痛持续6个月，而病人2，一名54岁的男性，意识突然下降。两名患者均表现出典型的磁共振成像特征，表明脑室内囊虫病，导致手术切除的决定。
■尽管由于相关风险，经callosal方法的受欢迎程度有所下降，我们在两种情况下都取得了相对较好的结局,发病率最低.我们的经验强调了考虑显微外科手术的重要性，特别是在缺乏内窥镜仪器的设施中，有效治疗脑室内囊虫病。术后药物治疗的依从性对于预防复发仍然至关重要。
■我们介绍了2例多发性脑室内囊虫病的病例，这些病例是通过开放的显微外科技术使用经call囊半球间方法治疗的。病人156岁男性,严重头痛持续6个月，而病人2，一名54岁的男性，意识突然下降。两名患者均表现出典型的磁共振成像特征，表明脑室内囊虫病，导致手术切除的决定。
■尽管由于相关风险，经callosal方法的受欢迎程度有所下降，我们在两种情况下都取得了相对较好的结局,发病率最低.我们的经验强调了考虑显微外科手术的重要性，特别是在缺乏内窥镜仪器的设施中，有效治疗脑室内囊虫病。术后药物治疗的依从性对于预防复发仍然至关重要。
