Transclival endoscopic approach for prepontine cistern neurocysticercosis causing trigeminal neuralgia: illustrative case

Neurocysticercosis (NCC) is a public health problem in most of the world. Approximately 50 million people worldwide experience this disease, and it remains one of the most important causes of neurological morbidity. Extraparenchymal NCC (basal cisterns) is associated with high rates of morbidity and...

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Published inJournal of neurosurgery. Case lessons Vol. 8; no. 13
Main Authors Lines-Aguilar, William W, García, Héctor H, Saavedra, Luis J, Caucha, Yelimer, Heredia, Dennis, Romero, Fernando, Vargas-Urbina, John, Daniel Cuya, Cesar, Lozano, Miguel, Rene Apaza-Tintaya, Alejandro, Mao Vásquez, Carlos
Format Journal Article
LanguageEnglish
Published United States American Association of Neurological Surgeons 23.09.2024
Subjects
Case Lesson
cysticercosis
endoscopic endonasal
subarachnoid neurocysticercosis
Peru
neurocysticercosis
transclival approach
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Summary:Neurocysticercosis (NCC) is a public health problem in most of the world. Approximately 50 million people worldwide experience this disease, and it remains one of the most important causes of neurological morbidity. Extraparenchymal NCC (basal cisterns) is associated with high rates of morbidity and mortality. Currently, minimally invasive approaches, including the endoscopic endonasal approach, are used with good functional results. A 25-year-old patient presented with headache and pain in the left hemiface. Magnetic resonance imaging (MRI) showed cystic lesions in the prepontine basal cisterns compressing and displacing the left trigeminal nerve. The cysticercal lesions were excised using a transclival endoscopic approach. There were no complications during surgery, and pathology confirmed the diagnosis of NCC. The pain subsided after surgery. No residual cysts were observed on control MRI. Minimally invasive approaches can be used to treat tumor and infectious problems of the skull base, as in this case, with good functional results. https://thejns.org/doi/10.3171/CASE24223.
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INCLUDE WHEN CITING Published September 23, 2024; DOI: 10.3171/CASE24223.
Disclosures The authors report no conflict of interest concerning the materials or methods used in this study or the findings specified in this paper.
ISSN:2694-1902
2694-1902
DOI:10.3171/CASE24223