gms | German Medical Science

56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
3èmes journées françaises de Neurochirurgie (SFNC)

Deutsche Gesellschaft für Neurochirurgie e. V.
Société Française de Neurochirurgie

07. bis 11.05.2005, Strasbourg

Hydrocephalus and racemose cysticercosis: surgical alternative by endoscopic third ventriculostomy

Meeting Abstract

  • B. Lapergue - Department of Neurology, Hôpital Henri Mondor, Créteil, France
  • H. Hosseini - Department of Neurology, Hôpital Henri Mondor, Créteil, France
  • M. Liance - Department of Parasitology, Hôpital Henri Mondor, Créteil, France
  • C. Rosso - Department of Neurology, Hôpital Henri Mondor, Créteil, France
  • corresponding author P. Decq - Department of Neurosurgery, Hôpital Henri Mondor, Créteil, France

Deutsche Gesellschaft für Neurochirurgie. Société Française de Neurochirurgie. 56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3èmes journées françaises de Neurochirurgie (SFNC). Strasbourg, 07.-11.05.2005. Düsseldorf, Köln: German Medical Science; 2005. DocP147

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dgnc2005/05dgnc0415.shtml

Veröffentlicht: 4. Mai 2005

© 2005 Lapergue et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective

Hydrocephalus is a frequent and potentially serious complication of neurocysticercosis. Its treatment often requires ventricular shunting. This technique comprises a high complication rate (obstruction, infection of the material), which may justify endoscopic Third Ventriculostomy (ETV).

Methods

The authors report a case of obstructive hydrocephalus in a 46-year-old man in the context of racemose cysticercosis, presenting with headaches and transient disorders of consciousness. Imaging showed cystic lesions of the cisterna magna, responsible for hydrocephalus which was treated effectively by ETV. Treatment with albendazole decreased the volume of the cisterna magna cysts.

Results

The patient was followed for 6 years after ETV with no recurrence of hydrocephalus despite another two symptomatic episodes of the disease with extension of the cysts into the lumen of the fourth ventricle and into the perispinal subarachnoid spaces, effectively treated by albendazole each time.

Conclusions

Treatment of obstructive hydrocephalus secondary of cerebral racemose cysticercosis by ETV seems to be an effective and safety technic. The place of ETV should be evaluated in this indication.