脑室内神经囊虫引起的阻塞性脑积水：囊肿迁移和多学科治疗1例报告

Medical Reports Pub Date : 2025-06-04 DOI:10.1016/j.hmedic.2025.100274

Syed H. Ali , Umer Khan , Youssef Abdullah , Haritha Saikumar

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引用次数: 0

摘要

一名28岁的西班牙裔男性，最近从墨西哥农村搬来，表现为突然发作的头痛和昏迷。影像显示脑室内神经囊虫病引起梗阻性脑积水。手术切除囊肿受到迁移的阻碍，但血清学确认指导了抗蠕虫治疗和辅助药物的成功多学科治疗。尽管手术失败，但药物治疗导致临床改善。该病例强调了神经囊虫诱导脑积水伴脑室内囊肿迁移的复杂性，并强调了综合方法和不断发展的治疗策略以优化患者预后的重要性。

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Intraventricular neurocysticercosis-induced obstructive hydrocephalus: A case report of cyst migration and multidisciplinary management

A 28-year-old Hispanic male, recently relocated from rural Mexico, presented with sudden-onset headaches and unconsciousness. Imaging revealed intraventricular neurocysticercosis causing obstructive hydrocephalus. Surgical cyst removal was hindered by migration, but serological confirmation guided successful multidisciplinary management with antihelminthic therapy and adjunctive medications. Despite failed surgical attempts, medical treatment led to clinical improvement. This case highlights the complexities of managing neurocysticercosis-induced hydrocephalus with intraventricular cyst migration and underscores the importance of a comprehensive approach and evolving treatment strategies to optimize patient outcomes.

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Medical Reports

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