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首页> 外文期刊>Sao Paulo Medical Journal >Surgical treatment of neurocysticercosis. Retrospective cohort study and an illustrative case report
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Surgical treatment of neurocysticercosis. Retrospective cohort study and an illustrative case report

机译：神经囊尾osis病的外科治疗。回顾性队列研究和示例性病例报告

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CONTEXT AND OBJECTIVE: Neurocysticercosis is prevalent in developing countries and manifests with several neurological signs and symptoms that may be fatal. The cysts may be parenchymal or extraparenchymal and therefore several signs and symptoms may occur. Depending on their location, neurosurgical procedures may be required, sometimes as emergencies. The aim here was to review 10-year statistics on all surgical neurocysticercosis cases at a large public tertiary-level hospital. DESIGN AND SETTING: Retrospective cohort at a large public tertiary-level hospital. METHODS: All surgical neurocysticercosis cases seen between July 2006 and July 2016 were reviewed. Parenchymal and extraparenchymal forms were considered, along with every type of surgical procedure (shunt, endoscopic third ventriculostomy and craniotomy). The literature was reviewed through PubMed, using the terms a??neurocysticercosisa??, a??surgerya??, a??shunta?? and a??hydrocephalusa??. RESULTS: 37 patients underwent neurosurgical procedures during the study period. Most were male (62.16%) and extraparenchymal cases predominated (81%). Patients aged 41 to 50 years were most affected (35.13%) and those 20 years or under were unaffected. Ventricular forms were most frequently associated with hydrocephalus and required permanent shunts in most cases (56.57%). CONCLUSIONS: The treatment of neurocysticercosis depends on the impairment: the parenchymal type usually does not require surgery, which is more common in the extraparenchymal form. Hydrocephalus is a frequent complication because the cysts often obstruct the cerebrospinal flow. The cysts should be removed whenever possible, to avoid the need for permanent shunts.
机译：背景与目的：神经囊尾osis病在发展中国家盛行，并表现出一些可能致命的神经系统症状和体征。囊肿可能是实质性的或实质性的，因此可能会出现一些体征和症状。根据其位置，有时可能需要进行神经外科手术。本文的目的是回顾一家大型公立三级医院所有外科神经囊尾ice病病例的10年统计数据。设计与地点：大型公共三级医院的回顾性队列。方法：回顾性分析了2006年7月至2016年7月间所有的外科神经囊尾osis病病例。考虑了实质性和实质性形式，以及每种类型的手术程序（分流，内镜下第三脑室造口术和颅骨切开术）。通过PubMed，使用术语“ neurocysticercosisa”，“ surgerya”，“ shunta”来复习文献。和“脑积水”。结果：37名患者在研究期间接受了神经外科手术。多数为男性（62.16％），而实质外病例占多数（81％）。 41至50岁的患者受影响最大（35.13％），而20岁或以下的患者则不受影响。心室形式最常见于脑积水，在大多数情况下需要永久性分流（56.57％）。结论：神经囊尾osis病的治疗取决于损伤：实质类型通常不需要手术，在实质以外的形式中更常见。脑积水是一种常见的并发症，因为囊肿经常阻塞脑脊液流动。应尽可能去除囊肿，以避免永久性分流。

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