Endoscopic excision of intraventricular neurocysticercosis in children: a series of six cases and review.
OBJECTIVE
Neurocysticercosis (NCC) affects both adults and children, but it is uncommon in childhood. The clinical presentation and management of intraventricular neurocysticercosis (IVNCC) in children has not been described adequately. We, therefore, present our series of six children with IVNCC managed by endoscopic excision.


METHODS
A retrospective analysis of six children with IVNCC was performed. The endoscopic technique practiced is described. Complete excision of the intraventricular cyst was performed in all patients. Simultaneously, five endoscopic third ventriculostomies, one septostomy, and one foramenotomy were performed. There were no perioperative and postoperative complications. Mean follow-up duration was 24.8 months. Clinical improvement was seen in all children, and none required shunting. Follow-up radiology showed no residual lesion and decreased ventricle size in all patients.


CONCLUSIONS
Endoscopic IVNCC cyst excision along with internal CSF diversion is a safe and effective option and avoids shunt and its related complications in these children.
Suri
Ashish
A
Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110 029, India. surineuro@hotmail.com
Goel
Rohit Kumar
RK
Ahmad
Faiz Uddin
FU
Vellimana
Ananth Kesav
AK
Sharma
Bhawani Shankar
BS
Mahapatra
Ashok Kumar
AK
D000293:Adolescent; D000818:Animals; D002552:Cerebral Ventricles / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008279:Magnetic Resonance Imaging; D008297:Male; D020019:Neurocysticercosis / Q000601:surgery*; D044583:Neuroendoscopy / Q000379:methods*; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014696:Ventriculostomy / Q000379:methods*