Contemporary neurosurgical approaches to neurocysticercosis

Leonardo Rangel-Castilla, Jose A. Serpa, Shankar P. Gopinath, Edward A. Graviss, Pedro Diaz-Marchan, A. Clinton White

Research output: Contribution to journalArticle

50 Scopus citations

Abstract

Neurocysticercosis (NCC) includes a wide spectrum of illnesses. Newer neurosurgical approaches are being applied to NCC. Although clinical trials are leading to a consensus on medical management, fewer data address neurosurgical approaches. We reviewed all neurocysticercosis patients evaluated by neurosurgery at Ben Taub General Hospital, Houston, Texas, between August 1997 and December 2005. From 31 patients that had a neurosurgical evaluation, 16 patients were treated with shunts (5 had shunt failure requiring revision), 13 by surgical resection of cysts (9 underwent craniotomy and 4 endoscopy), and 2 by medical therapy. A fifth endoscopy was performed in one patient with shunt failure. None of the endoscopic patients needed another intervention. Despite the availability of anti-parasitic and antiinflammatory therapies, neurosurgery continues to play an important role in the management of selected cases of NCC. In contrast to the high rate of shunt failure, neuroendoscopy seems to be associated with higher success rate than any other neurosurgical approach.

Original languageEnglish (US)
Pages (from-to)373-378
Number of pages6
JournalAmerican Journal of Tropical Medicine and Hygiene
Volume80
Issue number3
StatePublished - Mar 2009

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ASJC Scopus subject areas

  • Parasitology
  • Infectious Diseases
  • Virology

Cite this

Rangel-Castilla, L., Serpa, J. A., Gopinath, S. P., Graviss, E. A., Diaz-Marchan, P., & White, A. C. (2009). Contemporary neurosurgical approaches to neurocysticercosis. American Journal of Tropical Medicine and Hygiene, 80(3), 373-378.