Surgical treatment of neurocysticercosis. Retrospective cohort study and an illustrative case report
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | São Paulo medical journal (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000200146 |
Resumo: | ABSTRACT 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 “neurocysticercosis”, “surgery”, “shunt” and “hydrocephalus”. 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. |
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São Paulo medical journal (Online) |
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Surgical treatment of neurocysticercosis. Retrospective cohort study and an illustrative case reportNeurocysticercosisHydrocephalusEpilepsyVentriculoperitoneal shuntCentral nervous system infectionsNeurosurgical proceduresCase reportsCohort studiesABSTRACT 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 “neurocysticercosis”, “surgery”, “shunt” and “hydrocephalus”. 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.Associação Paulista de Medicina - APM2017-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000200146Sao Paulo Medical Journal v.135 n.2 2017reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/1516-3180.2016.0304171216info:eu-repo/semantics/openAccessPaiva,Aline Lariessy CamposAraujo,João Luiz VitorinoFerraz,Vinicius RicieriLovato,Renan MaximilianPedrozo,Charles Alfred GranderAguiar,Guilherme Brasileiro deVeiga,José Carlos Esteveseng2017-05-15T00:00:00Zoai:scielo:S1516-31802017000200146Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2017-05-15T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse |
dc.title.none.fl_str_mv |
Surgical treatment of neurocysticercosis. Retrospective cohort study and an illustrative case report |
title |
Surgical treatment of neurocysticercosis. Retrospective cohort study and an illustrative case report |
spellingShingle |
Surgical treatment of neurocysticercosis. Retrospective cohort study and an illustrative case report Paiva,Aline Lariessy Campos Neurocysticercosis Hydrocephalus Epilepsy Ventriculoperitoneal shunt Central nervous system infections Neurosurgical procedures Case reports Cohort studies |
title_short |
Surgical treatment of neurocysticercosis. Retrospective cohort study and an illustrative case report |
title_full |
Surgical treatment of neurocysticercosis. Retrospective cohort study and an illustrative case report |
title_fullStr |
Surgical treatment of neurocysticercosis. Retrospective cohort study and an illustrative case report |
title_full_unstemmed |
Surgical treatment of neurocysticercosis. Retrospective cohort study and an illustrative case report |
title_sort |
Surgical treatment of neurocysticercosis. Retrospective cohort study and an illustrative case report |
author |
Paiva,Aline Lariessy Campos |
author_facet |
Paiva,Aline Lariessy Campos Araujo,João Luiz Vitorino Ferraz,Vinicius Ricieri Lovato,Renan Maximilian Pedrozo,Charles Alfred Grander Aguiar,Guilherme Brasileiro de Veiga,José Carlos Esteves |
author_role |
author |
author2 |
Araujo,João Luiz Vitorino Ferraz,Vinicius Ricieri Lovato,Renan Maximilian Pedrozo,Charles Alfred Grander Aguiar,Guilherme Brasileiro de Veiga,José Carlos Esteves |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Paiva,Aline Lariessy Campos Araujo,João Luiz Vitorino Ferraz,Vinicius Ricieri Lovato,Renan Maximilian Pedrozo,Charles Alfred Grander Aguiar,Guilherme Brasileiro de Veiga,José Carlos Esteves |
dc.subject.por.fl_str_mv |
Neurocysticercosis Hydrocephalus Epilepsy Ventriculoperitoneal shunt Central nervous system infections Neurosurgical procedures Case reports Cohort studies |
topic |
Neurocysticercosis Hydrocephalus Epilepsy Ventriculoperitoneal shunt Central nervous system infections Neurosurgical procedures Case reports Cohort studies |
description |
ABSTRACT 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 “neurocysticercosis”, “surgery”, “shunt” and “hydrocephalus”. 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. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000200146 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802017000200146 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1516-3180.2016.0304171216 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
publisher.none.fl_str_mv |
Associação Paulista de Medicina - APM |
dc.source.none.fl_str_mv |
Sao Paulo Medical Journal v.135 n.2 2017 reponame:São Paulo medical journal (Online) instname:Associação Paulista de Medicina instacron:APM |
instname_str |
Associação Paulista de Medicina |
instacron_str |
APM |
institution |
APM |
reponame_str |
São Paulo medical journal (Online) |
collection |
São Paulo medical journal (Online) |
repository.name.fl_str_mv |
São Paulo medical journal (Online) - Associação Paulista de Medicina |
repository.mail.fl_str_mv |
revistas@apm.org.br |
_version_ |
1754209265715773440 |