Definition of the role of contemporary surgical management in cisternal and parenchymatous cysticercosis cerebri

Update item information
Publication Type Journal Article
School or College School of Medicine
Department Neurosurgery
Creator Couldwell, William T.
Other Author Zee, Chi-Shing; Apuzzo, Michael L. J.
Title Definition of the role of contemporary surgical management in cisternal and parenchymatous cysticercosis cerebri
Date 1991
Description With increasing immigration from endemic regions, the incidence of neurocysticercosis in North America is rising. This retrospective study was undertaken to examine the role of surgery in those cases presenting with large cystic parenchymal and cisternal lesions in the current era of anthelminthic agents administered orally. A total of 237 patients presented with newly diagnosed neurocysticercosis to our institution over a recent 5-year period (mean age. 31.2 years). Among those who presented with cystic mass lesions predominantly affecting the brain parenchyma and cisternal spaces. 20 (8.4%; mean age, 40.2 years) with large cystic lesions subsequently underwent surgical intervention, cither because of an emergent presentation or because they were refractory to medical management. Clinical presentation included increased intracranial pressure, focal neurological deficit, and seizure. Radiographic imaging (computed tomography and/or magnetic resonance imaging) demonstrated 12 cases with cisternal lesions, 7 with parenchymal lesions, and 1 involving both compartments. Based on imaging guidelines, 30 operative procedures (excluding shunt revisions) were performed (14 craniotomies, 8 cerebrospinal fluid diversions, 7 stereotactic procedures, and 1 burr hole drainage). Fifteen (75%) showed neurological or symptomatic improvement over a median follow-up period of 36.4 months. There were three surgery-related complications and no deaths.
Type Text
Publisher Wolters Kluwer (LWW)
Volume 28
Issue 2
First Page 231
Last Page 237
Subject Brain cyst; Computed tomography; Neurocysticercosis; Magnetic resonance imaging; Praziquantel; Stereotaxis
Subject LCSH Cysts (Pathology) -- Surgery; Brain -- Surgery; Cysticercosis
Language eng
Bibliographic Citation Couldwell, W. T., Zee, C.-S., & Apuzzo, M. L. J. (1990). Definition of the role of contemporary surgical management in cisternal and parenchymatous cysticercosis cerebri. Neurosurgery, 28(2), 231-7.
Rights Management (c) Wolters Kluwer (LWW)
Format Medium application/pdf
Format Extent 878,726 bytes
Identifier ir-main,12493
ARK ark:/87278/s6nw02wv
Setname ir_uspace
Date Created 2012-06-13
Date Modified 2012-06-13
ID 707211
Reference URL https://collections.lib.utah.edu/ark:/87278/s6nw02wv
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