Document Detail

Bruns syndrome caused by intraventricular neurocysticercosis treated using flexible endoscopy.
MedLine Citation:
PMID:  16703879     Owner:  NLM     Status:  MEDLINE    
OBJECT: Neurocysticercosis is the most frequent cause of hydrocephalus in adults in regions where the disease is endemic, including Latin America. The prognosis for intraventricular neurocysticercosis is worse than that for the intraparenchymal form of the disease, making treatment especially important. Although active and viable intraventricular cysts produce no reaction in the host, they can cause noncommunicating hydrocephalus, whose onset is frequently abrupt. Sometimes the increasing intracranial pressure due to obstruction of the cerebral aqueduct (ball-valve mechanism) is intermittent, producing relapsing/remitting symptoms; this life-threatening phenomenon is called "Bruns syndrome." METHODS: Between 1996 and 2004, among a group of 285 patients with neurocysticercosis and Bruns syndrome caused by cysticercal cysts of the third ventricle was diagnosed in seven patients by using magnetic resonance imaging. An endoscopic procedure with a flexible cerebral endoscope was performed, intact parasitic cysts were removed, and a complete exploration was undertaken to look for more cysticercal cysts in the whole ventricular system and the subarachnoid basal cisterns. There were no deaths or complications. All seven patients were asymptomatic during a follow-up period ranging from 1 to 5 years. CONCLUSIONS: Flexible cerebral endoscopy allows one, in a minimally invasive manner, to approach the ventricular system and subarachnoid basal cisterns and to remove intraventricular neurocysticercal cysts. Flexible endoscopy is an alternative treatment for Bruns syndrome caused by neurocysticercosis of the third ventricle.
Jaime Torres-Corzo; Roberto Rodriguez-della Vecchia; Leonardo Rangel-Castilla
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  104     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2006 May 
Date Detail:
Created Date:  2006-05-17     Completed Date:  2006-05-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  746-8     Citation Subset:  AIM; IM    
Clinic of Neurosurgery, Department of Neurosurgery, Foundation for Nervous Diseases Study and Treatment, University of San Luis Potosi Medical School, Potosi, Mexico.
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MeSH Terms
Cerebral Aqueduct / pathology,  surgery
Cisterna Magna / pathology,  surgery
Follow-Up Studies
Hydrocephalus / diagnosis,  surgery*
Image Processing, Computer-Assisted
Intracranial Pressure / physiology
Magnetic Resonance Imaging
Middle Aged
Neurocysticercosis / diagnosis,  surgery*
Third Ventricle / pathology,  surgery*

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