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Third-ventricular neurocysticercosis: hydraulic maneuvers facilitating endoscopic resection

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Abstract

Background

Neurocysticercosis, an infection of the central nervous system with the larval cysts of the pork tapeworm, Taenia solium, is the most common parasitic disease of the central nervous system. The disease is a major global cause of acquired epilepsy and may also manifest as intracranial hypertension due to mass effect from large cysts or to cerebrospinal fluid flow obstruction by intraventricular cysts or inflammation of the subarachnoid space. While the condition is endemic in several regions of the world and has been appreciated as a public health problem in such regions for several decades, its emergence in the USA in areas far from the Mexican border is a more recent phenomenon.

Methods

We present a case of surgically corrected acute hydrocephalus in a recent Haitian emigrant child due to a third ventricular neurocysticercal cyst complex.

Results

We describe the endoscope-assisted en bloc removal of the complex, together with hydraulic maneuvers facilitating the removal of the intact cyst.

Conclusions

Simple hydraulic maneuvers can facilitate the endoscopic en bloc removal of third ventricular neurocysticercal cysts.

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Acknowledgments

None.

Disclosure

The work described here was supported in part by award T32GM007753 from the National Institute of General Medical Sciences through a Medical Scientist Training Program grant to B. I. Rapoport. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of General Medical Sciences or the National Institutes of Health.

Conflicts of Interest

The authors have no conflicts of interest to disclose.

Author information

Authors and Affiliations

  1. Harvard Medical School, Boston, MA, USA

    Benjamin I. Rapoport & Alan R. Cohen

  2. Department of Neurological Surgery, Weill Cornell Medical College, New York, NY, USA

    Benjamin I. Rapoport

  3. Department of Neurological Surgery, Doernbecher Children’s Hospital, Oregon Health and Science University, Portland, OR, USA

    Lissa C. Baird

  4. Department of Neurosurgery, Boston Children’s Hospital, 300 Longwood Avenue, Boston, MA, 02115, USA

    Alan R. Cohen

Authors
  1. Benjamin I. Rapoport
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  2. Lissa C. Baird
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Correspondence to Alan R. Cohen.

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Rapoport, B.I., Baird, L.C. & Cohen, A.R. Third-ventricular neurocysticercosis: hydraulic maneuvers facilitating endoscopic resection. Childs Nerv Syst 30, 541–546 (2014). https://doi.org/10.1007/s00381-013-2273-7

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  • DOI: https://doi.org/10.1007/s00381-013-2273-7

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