Intraventricular and subarachnoid basal cisterns neurocysticercosis: a comparative study between traditional treatment versus neuroendoscopic surgery

Proaño, Jefferson V.; Torres-Corzo, Jaime Gerardo; Vecchia, Roberto Rodríguez-Della; Guı́zar-Sahagún, Gabriel; Rangel-Castilla, Leonardo

doi:10.1007/s00381-009-0933-4

Cited by 79 publications

(58 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As far as surgical intervention is concerned, the application of neuronavigation techniques to remove basal subarachnoid cysts has been only rarely reported. 46,47 Also, excision of large Sylvian cysts even in the presence of other smaller cysts in a different location could greatly decrease the period of weeks or months of perilesional brain inflammation that follows anti-parasitic destruction of large parenchymal cysts. The advent of modern neuroimaging and effective anti-parasitic agents has greatly improved the management of NCC over the past 20 years.…”

Section: New or More Recent Treatment Optionsmentioning

confidence: 99%

Current status and future perspectives on the medical treatment of neurocysticercosis

Gonzáles¹,

Garcı́a

2012

Pathogens and Global Health

View full text Add to dashboard Cite

Neurological disease resulting from neurocysticercosis (NCC) is common in most of the world. The variability in the biology of the infection and in its clinical manifestations has led to much confusion regarding appropriate management. Therapeutic options have evolved from surgery, symptomatic measures, and steroids, to include the use of anti-parasitic drugs and minimally invasive neurosurgery. This manuscript reviews the principles of medical therapy for NCC, from discussion of the need for individualized management approaches for each type of NCC to exploration of the most likely potential additions or modifications currently under study.

show abstract

Section: New or More Recent Treatment Optionsmentioning

confidence: 99%

Current status and future perspectives on the medical treatment of neurocysticercosis

Gonzáles¹,

Garcı́a

2012

Pathogens and Global Health

View full text Add to dashboard Cite

show abstract

“…Los autores concluyeron que la cirugía mínima-mente invasiva con neuroendoscopio flexible debe ser la primera opción de tratamiento de la neurocisticercosis extraparenquimatosa en hospitales de alta complejidad que dispongan de las condiciones para hacerla, pues la recuperación es más frecuente y se requiere la derivación ventrículo-peritoneal en menor medida que en el tratamiento convencional, el cual debe ser la primera opción cuando no se cuente con las condiciones para practicar la cirugía mínimamente invasiva (26).…”

Section: Discussionunclassified

Racemose neurocysticercosis - neuroimaging guide the diagnosis

2016

View full text Add to dashboard Cite

: revisión bibliográfica, desarrollo de la estructura del manuscrito, revisión y seguimiento de los casos clínicos Sergio Alberto Vargas: diagnóstico neurorradiológico, estructura y revisión del manuscrito Carlos Santiago Uribe: diagnóstico neurológico, revisión y discusión de los casos clínicos La neurocisticercosis es la primera causa de parasitosis del sistema nervioso central y de epilepsia adquirida en países en desarrollo. Sus manifestaciones clínicas, especialmente de la variante racemosa (sic), son pleomorfas e inespecíficas, características que hacen de su diagnóstico un desafío para el clínico. El objetivo de este informe fue describir dos casos de neurocisticercosis racemosa (sic), en los cuales las neuroimágenes permitieron hacer el diagnóstico definitivo. El primer caso se trató de una paciente con cefalea persistente y signos neurológicos focales, que requirió múltiples exámenes paraclínicos para, finalmente, llegar al diagnóstico definitivo de neurocisticercosis racemosa (sic) con vasculitis cerebral secundaria. A pesar del tratamiento médico y quirúrgico, la paciente falleció después de diversas complicaciones. El segundo caso se trató de una paciente con antecedentes de neurocisticerosis, que consultó por vómito crónico incoercible y, también requirió múltiples exámenes paraclínicos para concluir que se trataba de un vómito de origen central, secundario a neurocisticercosis racemosa (sic) y obstrucción del cuarto ventrículo. Después del tratamiento médico y quirúrgico, la paciente presentó una leve mejoría. En estos dos casos se evidenció que la adecuada interpretación de las neuroimágenes es fundamental para el diagnóstico de la neurocisticercosis racemosa (sic).

show abstract

“…About 30% of patients with hydrocephalus meet the criteria for this technique, which may prevent the need for a ventriculoperitoneal shunt, resulting in reduced costs and low incidence of late complications. 4,5,6,7,12,15,17 Nonetheless, because a ventricular endoscope is used through a single bur hole, additional resources to enable cutting, coagulation, and ablation of injuries are extremely relevant to reduce surgical time and hospital length of stay, and increase the safety of the procedure and the patient's postoperative comfort. 8,10,18 Increasing experience in several centers has proven that laser-assisted endoscopic procedures are useful options, because they are safe, effective, and advantageous in cases of distorted anatomy.…”

mentioning

confidence: 99%

Application of a 980-nanometer diode laser in neuroendoscopy: a case series

Reis

Teixeira

Mancini³

et al. 2016

JNS

View full text Add to dashboard Cite

V entricular neuroendoscopy represents an important advance in the treatment of hydrocephalus. About 30% of patients with hydrocephalus meet the criteria for this technique, which may prevent the need for a ventriculoperitoneal shunt, resulting in reduced costs and low incidence of late complications. 4,5,6,7,12,15,17 Nonetheless, because a ventricular endoscope is used through a single bur hole, additional resources to enable cutting, coagulation, and ablation of injuries are extremely relevant to reduce surgical time and hospital length of stay, and increase the safety of the procedure and the patient's postoperative comfort. 8,10,18 Increasing experience in several centers has proven that laser-assisted endoscopic procedures are useful options, because they are safe, effective, and advantageous in cases of distorted anatomy. 4,18 We have previously shown favorable results of surgical Nd:YAG and therapeutic laser (diode 685 nm) in neuroendoscopic procedures, such as excision of colloid cysts and myelomeningocele repair. 10,11 Furthermore, the use of 980-nm diode laser in brain tissue of Wistar rats has been tested in recent studies and was associated with a remarkable ablating capacity, minimal thermal damage to surrounding tissue, and lower recovery time than other lasers with different wavelengths or electrocoagulators. The 980-nm-wavelength diode laser provides proper absorption in both water and hemoglobin, which is an adabbreviatioNs μ A (H 2 O) = absorption coefficient of water; CW = continuous wave; ETV = endoscopic third ventriculostomy. obJective Ventricular neuroendoscopy represents an important advance in the treatment of hydrocephalus. Highpower (surgical) Nd:YAG laser and low-level laser therapy (using 685-nm-wavelength diode laser) have been used in conjunction with neuroendoscopy with favorable results. This study evaluated the use of surgical 980-nm-wavelength diode laser for the neuroendoscopic treatment of ventricular diseases. methods Nine patients underwent a neuroendoscopic procedure with 980-nm diode laser. Complications and followup were recorded. results Three in-hospital postoperative complications were recorded (1 intraventricular hemorrhage and 2 meningitis cases). The remaining 6 patients had symptom improvement after endoscopic surgery and were discharged from the hospital within 24-48 hours after surgery. Patients were followed for an average of 14 months: 1 patient developed meningitis and another died suddenly at home. The other patients did well and were asymptomatic until the last follow-up consultation. coNclusioNs The 980-nm diode laser is considered an important therapeutic tool for endoscopic neurological surgeries. This study showed its application in different ventricular diseases.

show abstract

Intraventricular and subarachnoid basal cisterns neurocysticercosis: a comparative study between traditional treatment versus neuroendoscopic surgery

Cited by 79 publications

References 32 publications

Current status and future perspectives on the medical treatment of neurocysticercosis

Current status and future perspectives on the medical treatment of neurocysticercosis

Racemose neurocysticercosis - neuroimaging guide the diagnosis

Application of a 980-nanometer diode laser in neuroendoscopy: a case series

Contact Info

Product

Resources

About