The surgical value of Neurocysticercosis: analyzing 10 patients in 5 years.

AIM To investigate the indications and clinical value of the surgical therapy of neurocysticercosis(NCC) Material and Methods: Retrospectively reviewed all 10 patients with NCC treated surgically from January 2009 to January 2014 in our institute. The NCC types include parenchymal cysticerci in 6 cases, subarachnoid cysticerci in 3 and ventricular cysticerci in 1. RESULTS All 10 patients underwent resection of cysticerci through craniotomy. Parenchymal NCC includes isolated lesion in 4 cases and multi-lesions in 2 cases, who were respectively with coexistence of metastasis and cysticerci and positive history of tuberculosis. In all 3 patients with arachnoid NCC, two cases underwent lesion resection and the other one was performed cyst resection and lamina terminalis fenestration. In one case with intraventricular NCC, The VP shunt was performed as the initial treatment. Due to failure of shunt, the secondary surgery of cyst excision via open craniotomy and VP shunt placement were operated simultaneously. CONCLUSION For parenchymal cysticercosis, the surgical aim is to remove the lesion, treat the medically intractable epilepsy, and establish the diagnosis and subsequent treatment. As for extraparenchymal NCC, due to its fatal complications, surgical therapy is a valuable treatment as the alternative. For subarachnoid cysticercosis, because of its higher.