Awake surgery for isolated parenchymal degenerating neurocysticercosis – Case report and focused review of misdiagnosis of neurocysticercosis
| Autor: | M. Baruteau, F. Bielle, A. Vienne, Y. Nikolova Yordanova, F.-L. Maison, R. Dulou |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Eloquent Brain Areas Neurocysticercosis Neurosurgical Procedures Diagnosis Differential Lesion Young Adult 03 medical and health sciences 0302 clinical medicine Humans Medicine Diagnostic Errors Wakefulness Awake surgery Brain Diseases Postcentral gyrus business.industry Hypoesthesia Magnetic Resonance Imaging Treatment Outcome 030220 oncology & carcinogenesis Nerve Degeneration Surgery Tuberculoma Neurology (clinical) Radiology medicine.symptom Differential diagnosis business 030217 neurology & neurosurgery |
| Zdroj: | Neurochirurgie. 65:402-416 |
| ISSN: | 0028-3770 |
| DOI: | 10.1016/j.neuchi.2019.07.002 |
| Popis: | Differential diagnosis of isolated single neurocysticercosis can be difficult, and management is controversial. We report here an original surgical strategy, and review previous studies reporting misdiagnosis, using the PRISMA guidelines. A 24-year-old man was admitted to our hospital for recent memory impairment, hypoesthesia of the right hand, and recurrent focal seizures without loss of consciousness. Brain MRI revealed a single ring-enhancing parenchymal lesion in the left superior postcentral gyrus, with large perilesional edema. Since exhaustive systemic exploration was negative, surgical resection of the lesion was decided on in a multidisciplinary team meeting. To preserve eloquent brain areas, surgery was performed in awake condition. It allowed complete resolution of clinical manifestations. The diagnosis of neurocysticercosis was confirmed on pathology. This case illustrates the utility of awake surgery in degenerating neurocysticercosis in functional areas, and emphasizes the importance of including it in differential diagnosis of cystic ring-enhancing brain lesions. |
| Databáze: | OpenAIRE |
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