Mechanisms of hydrocephalus in cerebral cysticercosis: implications for therapy
Patients with hydrocephalus secondary to cerebral cysticercosis are a highly heterogeneous group. The mechanisms of hydrocephalus in these patients are multiple. Intraventricular cysts may be found in the 3rd and 4th ventricles, the sylvian aqueduct, and the foramen of Monro. Intraventricular cysts can be suspected when the 3rd and 4th ventricles or aqueduct remain enlarged despite shunting. Intraventricular contrast medium demonstrates the presence of the parasites. The intraventricular cysts should be removed surgically. Hydrocephalus due to cisternal cysticercosis can be diagnosed by isotope cisternography. These patients should receive shunts, but the long term prognosis is probably poor. Guidelines for the management of hydrocephalus due to cysticercosis are suggested.
- Research Organization:
- Department of Neurology, Hospital General, Centro Medico Nacional, Instituto Mexicano del Seguro Social, Mexico City
- OSTI ID:
- 5394288
- Journal Information:
- Neurosurgery; (United States), Vol. 13:2
- Country of Publication:
- United States
- Language:
- English
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