Li Jing Hui , Guo Bin , Geng Xin , Li Shi Peng , Zhou Hou Jun , Sun Tao , Liu Wen Chun , Gui Yang , Bai Peng , Yu Hua Lin . Minimally Invasive Operational Treatment of 19 Cases of Neurocysticercosis[J]. Journal of Kunming Medical University, 2017, 38(08): 48-52.
Citation: Li Jing Hui , Guo Bin , Geng Xin , Li Shi Peng , Zhou Hou Jun , Sun Tao , Liu Wen Chun , Gui Yang , Bai Peng , Yu Hua Lin . Minimally Invasive Operational Treatment of 19 Cases of Neurocysticercosis[J]. Journal of Kunming Medical University, 2017, 38(08): 48-52.

Minimally Invasive Operational Treatment of 19 Cases of Neurocysticercosis

Funds:

基金: 国家自然科学基金资助项目 (81560206);

  • Received Date: 2017-05-10
  • Objective To evaluate the operational methods and therapeutic efficacy of minimally invasive operation with neuroendoscopy and stereotactic techniques in treatment of neurocysticercosis. Methods The clinical characteristics and imaging appearances of 19 patients with neurocysticercosis received minimally invasive operational treatment with neuroendoscopy and Stereotactic techniques were analyzed and summaried retrospectively, 9 cases of neurocysticercosis were lonely extirpated by neuroendoscopy, 7 cases were completed under the guide of stereotactic techniques, 2 cases of septum pellucidum fenestration and ventriculoperitoneal shunt. Results Among 19 cases of patients, there were 17 cases of total resection, 2 cases of unsuccessful removal of third ventricle cysticercus because of hemorrhage during operation or Cysticercus movement to the posterior of Lateral Ventricles. All patients were followed up for 2-60 months, in all cases, no new neurological function defect was found, 16 cases of preoperative symptoms disappeared, 3 cases of epileptiform EEG, 1 case of grand mal, 1 case of partial seizure disorder. Conclusion Minimally invasive treatment with neuroendoscopy and stereotactic techniques for neurocysticercosis has smaller trauma and definite curative effect.
  • loading
  • [1]高鲜红, 张亚卓, 刘丕楠, 等.应用神经内镜手术治疗脑囊虫[J].中华神经外科杂志, 2001, 17 (4) :214-216.
    [2]
    [2]OERTEL J M, BALDAUF J, SCHROEDER H W, et al.Endoscopic options in children:experience with 134procedures[J].J Neurosurg Pediatr, 2009, 3 (2) :81-89.
    [3]姜颖, 韦云飞.蛛网膜型脑囊虫病诊断与治疗[J].川北医学院学报, 2017, 32 (2) :182-185.
    [4]
    [4]SURI A, GOEL RK, AHMAD F U, et al.Transventricular, transaqueductal-scope-in-scope endoscopicexcisionof fourth ventricular neurocysticercosis:aseries of 13 cases and areview[J].J Neurosurg Pediatr, 2008, 1 (1) :35-39.
    [5]
    [5]CARPIO A, ROMO M L.The relationship between neurocysticercosis and epilepsy:an endless debate[J].Arq Neuropsiquiatr, 2014, 72 (5) :383-390.
    [6]
    [6]GUPTA R K, HASAN K M, MISHRA A M, et al.High fractional anisot-ropy in brain abscesses versus other cystic intracranial lesions[J].Am J Neuroradiol, 2005, 26 (5) :1107-1114.
    [7]
    [7]NASH TE, PRETELL EJ, LESCANO AG, et al.Perilesional brain oedema and seizure activity in patients with calcified neurocysticercosis:a prospective cohort and nested case-control study[J].Lancet Neurol, 2008, 7 (12) :1099-1105.
    [8]
    [8]PRASAD KN, PRASAD A, VERMA A, et al.Human cysticercosis and Indian scenario:a review[J].J Biosci, 2008, 33 (4) :571-582.
    [9]
    [9]SENZ B, RAM REZ J, ALUJA A, et al.Human and porcine neurocysticercosis:differences in the distribution and developmental stages of cysticerci[J].Trop Med Int Health, 2008, 13 (5) :697-702
    [10]
    [10]Del Brutto OH.Revised diagnostic criteria for neurocysticercosis[J].J Neurol Sci, 2017, 372 (6) :202-210.
    [11]高俊, 杜宏利, 荣阳.脑囊虫病CT、MRI检查的诊断价值与影像学研究[J].影像与介入2011, 18 (12) :86-89.
    [12]
    [12]CASTILLO Y, RODRIGUEZ S, GARCIA H H, et al.Urine antigen detection for the diagnosis of human neurocysticercosis[J].Am J Trop Med Hyg, 2009, 80 (3) :379-383.
    [13]项威, 别黎, 赵刚, 等.神经导航系统在显微神经外科手术中的应用[J].广东医学, 2010, 31 (18) :2394-2396.
    [14]
    [14]BAZAN R, ODASHIMA N S, LUVIZUTTO G J, et al.Analysis of cerebrospinal fluid in racemose form of neurocysticercosis[J].Arq Neuropsiquiatr, 2015, 73 (10) :852-855.
    [15]李世鹏, 孙涛, 白鹏, 等.应用神经内镜技术辅助诊断和治疗脑室感染[J].昆明医科大学学报, 2015, 36 (5) :55-57.
    [16]肖庆, 陈国强, 郑佳平, 等.脑囊虫病的软行神经内镜治疗[J].中国微创外科杂志, 2012, 12 (3) :272-274.
    [17]李储忠, 刘春晖, 宗绪毅, 等.28例脑囊虫病手术治疗方法及效果分析[J].山东医药, 2015, 55 (32) :37-39.
    [18]李美丽.神经内镜治疗脑积水患儿手术前后的护理方法[J].昆明医科大学学报, 2013, 34 (9) :159-160.
    [19]凌天金, 罗文光, 刘旭东.微创术再出血的判定和防治[J].川北医学院报, 2002, 17 (4) :159-161.
    [20]罗丽, 冯文, 高晋健, 等.40例颅内寄生虫病手术治疗分析[J].四川医学, 2015, 36 (11) :1527-1529.
    [21]张振光, 李宗芳, 余化霖, 等.立体定向活检在颅内多发病变诊断中的临床研究[J].昆明医科大学学报, 2013, 34 (11) :80-83.
    [22]
    [22]REITHMEIER T, LOPEZ WO, DOOSTKAM S, et al.Intraindividual comparison of histopathological diagnosis obtained by stereotactic serial biopsy to open surgical resection specimen in patients with intracranial tumours[J].Clin Neurol Neurosurg, 2013, 115 (10) :1955-1983.
    [23]李敬东.微创医学研究[J].川北医学院学报, 2012, 27 (5) :417.
    [24]
    [24]GARCIA HH, GONZALES I, LESCANO AG, et al.Efficacy of combined antiparasitic therapy with praziquantel and albendazole for neurocysticercosis:a double-blind, randomised controlled trial[J].Lancet Infect Dis, 2014, 14 (8) :687-695.
  • Relative Articles

    [1] Bijiang ZHANG, Jinghui LI. Comparative Analysis of the Efficacy of Neuroendoscopic and Microscopic Transnasal Resection of Pituitary Tumours in the Pterygoid Region. Journal of Kunming Medical University, 2024, 45(7): 87-91.  doi: 10.12259/j.issn.2095-610X.S20240713
    [2] Yi GONG, Wenkui YANG, Lin LIU, Dongyu ZHAI. Efficacy of Neuroendoscopic Surgery in the Treatment of Intraventricular Hemorrhage. Journal of Kunming Medical University, 2023, 44(8): 91-94.  doi: 10.12259/j.issn.2095-610X.S20230814
    [3] Wenyou XIE, Tongheng HUANG, Yanru YANG, Jinyang LIU. Clinical Study of Neuronavigation-assisted Endoscopic Transnasal Sphenoid Approach for Resection of Pituitary Tumors. Journal of Kunming Medical University, 2023, 44(11): 108-112.  doi: 10.12259/j.issn.2095-610X.S20231116
    [4] Guangping ZHAO, Panpan LIU, Fei LIU, Wei LI, Yongxue CHEN, Kai ZHANG. Observations on Hemodynamics and Stress Response of the Different Anesthesia Methods in Stereotactic Intracranial Hematoma Removal for Hypertensive Intracerebral Hemorrhage. Journal of Kunming Medical University, 2022, 43(5): 117-122.  doi: 10.12259/j.issn.2095-610X.S20220521
    [5] Li Peng , Li Ya Xiong , Qian Xu , Yang Ying Nan , Wang Ge Nan , Zhang Ya Yong , Lin Li , Wang Yuan Fei . . Journal of Kunming Medical University, 2017, 38(03): 123-126.
    [6] Lu Qiu An , Du Kai Li , Zhang Chun Qiang , Guo Pei Yu , Sun Yu Peng , He Shao Bo . . Journal of Kunming Medical University, 2017, 38(05): 83-86.
    [7] Li Jian . . Journal of Kunming Medical University,
    [8] Lei Xue Fen . . Journal of Kunming Medical University,
    [9] Li Zhi . . Journal of Kunming Medical University,
    [10] Luo Cong . . Journal of Kunming Medical University,
    [11] Zhang Zhen Guang . . Journal of Kunming Medical University,
    [12] Shang Wei . . Journal of Kunming Medical University,
    [13] Ma Jian Qiang . . Journal of Kunming Medical University,
    [14] Zhan Hui . . Journal of Kunming Medical University,
    [15] Bai Peng . . Journal of Kunming Medical University,
    [16] Yan Heng Xiang . . Journal of Kunming Medical University,
    [17] Yu Hua Lin . Cultivation,Differentiation and Identification of Human Omental Adipose Derived Mesenchymal Stem Cells in Vitro. Journal of Kunming Medical University,
    [18] Sun Tao . . Journal of Kunming Medical University,
    [19] Bai Peng . Clinical Reseach of Neuroendoscope Guided by Stereotaxis in Treatment of Brain Parenchymal Lesions. Journal of Kunming Medical University,
    [20] Yuan Hui . . Journal of Kunming Medical University,
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (1572) PDF downloads(99) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return