Intraventricular neurocysticercosis — specifically involving cysticerci lodged in the lateral or third ventricle — requires a distinct management approach that differs from other forms of CNS cysticercosis. Location within the ventricular system drives both the surgical strategy and the perioperative medical plan.
This protocol applies to patients with intraventricular neurocysticercosis in whom cysticerci are situated in the lateral or third ventricle. The anatomical position of these cysts informs the choice of surgical access and the role — and limitations — of medical therapy.
The recommended strategy centres on a minimally invasive surgical approach to directly address the cysticerci, combined with perioperative pharmacological management to control inflammation. The use of antiparasitic agents around the time of surgery carries specific considerations that significantly shape the treatment plan. Full sequencing, agent selection, and perioperative details are in the structured protocol.
DOI: 10.1093/cid/cix1084