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Dhar A, Dua S, Singh H. Isolated Intramedullary Lumbar Spine Neurocysticercosis: A Rare Occurrence and Review of Literature. Surg J (N Y) 2021; 7:e327-e336. [PMID: 34926816 PMCID: PMC8674092 DOI: 10.1055/s-0041-1739118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2021] [Accepted: 09/23/2021] [Indexed: 10/26/2022] Open
Abstract
Neurocysticercosis (NCC) is the most common parasitic infection of the central nervous system. Spinal cysticercosis is a rather rare clinical occurrence. Intramedullary (IM) spinal NCC is rarer still. Furthermore, cases of IM-NCC at lumbar levels are few and far between. We present a case of a 35-year-old male patient who was diagnosed to have IM-NCC at L2-3 level and was managed surgically with no recurrence at 2 years of follow-up. A systematic literature review (1992-2020) highlights it to be only the third case reported with exclusive lumbar involvement.
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Affiliation(s)
- Anil Dhar
- Department of Neurosurgery, Max Super Speciality Hospital, New Delhi, India
| | - Sanjeev Dua
- Department of Neurosurgery, Max Super Speciality Hospital, New Delhi, India
| | - Hershdeep Singh
- Department of Neurosurgery, Max Super Speciality Hospital, New Delhi, India
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Hung ND, Duc NM, Sy TV, Dung LT, Tuan TA, Hue ND. Distinct Forms of Spinal Cysticercosis: A Vietnamese Case Series. Curr Med Imaging 2021; 17:648-652. [PMID: 33213334 DOI: 10.2174/1573405616666201118142317] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Revised: 10/07/2020] [Accepted: 10/15/2020] [Indexed: 11/22/2022]
Abstract
INTRODUCTION Neurocysticercosis (NCC), a major contributor to the burden of seizure disorders and epilepsy in the world, is one of the most common parasitic infections of the central nervous system, which is usually located in the brain. Medical therapy for NCC should initially cover appropriate symptom control and then the use of antiparasitic agents should be considered. Antiparasitic treatment is of benefit in most cases of viable and degenerating NCC. Nevertheless, cysticercosis of the spinal cord is very uncommon. CASE SERIES In this article, we recorded 5 cases of extramedullary-intradural lumbar spinal cysticercosis, in which one case displayed cystic lesions in both brain and spine, one case showed an independent cystic lesion in the spine, and three remaining cases showed diffuse lesions in the spinal canal. CONCLUSION Thus, in any case of single or numerous cystic lesions or dispersed lesions entering the spinal canal, spinal cysticercosis should be considered.
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Affiliation(s)
- Nguyen D Hung
- Department of Radiology, Hanoi Medical University, Hanoi, Vietnam
| | - Nguyen M Duc
- Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam
| | - Than V Sy
- Department of Radiology, Viet Duc Hospital, Hanoi, Vietnam
| | - Le T Dung
- Department of Radiology, Viet Duc Hospital, Hanoi, Vietnam
| | - Trinh A Tuan
- Department of Radiology, Viet Duc Hospital, Hanoi, Vietnam
| | - Nguyen D Hue
- Department of Radiology, Hanoi Medical University, Hanoi, Vietnam
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Maste PS, Lokanath YK, Mahantshetti SS, Soumya S. Isolated Intramedullary Spinal Cysticercosis: A Case Report with Review of Literature of a Rare Presentation. Asian J Neurosurg 2018; 13:154-156. [PMID: 29492150 PMCID: PMC5820875 DOI: 10.4103/1793-5482.180894] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
A number of parasitic infections can involve the central nervous system of which neurocysticercosis (NCC) is the most common one in developing countries. Most often the brain is involved, spine and spinal cord involvement is very rare and intramedullary involvement is rarer still. Here, we report a 30-year-old male patient, with intramedullary NCC of dorsal spinal cord.
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Affiliation(s)
- Praful Suresh Maste
- Department of Neurosurgery and Microbiology, J.N Medical College and KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, KLE University, Belgaum, Karnataka, India
| | - Yadhu Kasetti Lokanath
- Department of Neurosurgery and Microbiology, J.N Medical College and KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, KLE University, Belgaum, Karnataka, India
| | - Shambhulingappa Shrishilappa Mahantshetti
- Department of Neurosurgery and Microbiology, J.N Medical College and KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, KLE University, Belgaum, Karnataka, India
| | - S Soumya
- Department of Neurosurgery and Microbiology, J.N Medical College and KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, KLE University, Belgaum, Karnataka, India
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Datta SG, Mehta R, Macha S, Tripathi S. Primary Spinal Intramedullary Neurocysticercosis: A Report of 3 Cases. World Neurosurg 2017; 105:1037.e1-1037.e7. [DOI: 10.1016/j.wneu.2017.05.168] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2017] [Revised: 05/27/2017] [Accepted: 05/29/2017] [Indexed: 11/28/2022]
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Zhang S, Hu Y, Li Z, Zhao L, Wang Z. Lumbar spinal intradural neurocysticercosis: A case report. Exp Ther Med 2017; 13:3591-3593. [PMID: 28588685 DOI: 10.3892/etm.2017.4403] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2016] [Accepted: 02/14/2017] [Indexed: 11/06/2022] Open
Abstract
Neurocysticercosis is a parasitic disease that results from the larvae of Taenia solium. While neurocysticercosis is considered as the most common parasitic infection of the nervous system, spinal neurocysticercosis is rare. The present case study investigated a 59-year-old woman, who was admitted to our hospital with pain in the bilateral lower limbs and urinary complaints in the form of straining of micturition with increasing frequency. Magnetic resonance imaging revealed an intradural extramedullary lesion extending from L1/2 to S1 of the spine. Subsequently, a laminectomy from L1 to S1 was performed 3 days post-presentation. Intraoperatively, a thin-walled cyst with clear fluid was identified, extending from L2 to S1. The exposed, white and mucoid cysticerci was removed completely. Which on pathological examination was identified to be cysticercosis.
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Affiliation(s)
- Shizhong Zhang
- Department of Neurosurgery, Qilu Hospital of Qingdao Branch, Shandong University, Qingdao, Shandong 370203, P.R. China.,Department of Neurosurgery, Taian Central Hospital, Taian, Shandong 271000, P.R. China
| | - Yanyan Hu
- Color Ultrasonic Room, Taian Central Hospital, Taian, Shandong 271000, P.R. China
| | - Zhen Li
- Department of Neurosurgery, Taian Central Hospital, Taian, Shandong 271000, P.R. China
| | - Li Zhao
- Color Ultrasonic Room, Taian Central Hospital, Taian, Shandong 271000, P.R. China
| | - Zhigang Wang
- Department of Neurosurgery, Qilu Hospital of Qingdao Branch, Shandong University, Qingdao, Shandong 370203, P.R. China
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Yacoub HA, Goldstein I, El-Ghanem M, Sharer L, Souayah N. Spinal racemose cysticercosis: case report and review. Hosp Pract (1995) 2017; 45:99-103. [PMID: 28468527 DOI: 10.1080/21548331.2017.1325704] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
Cysticercosis is a common helminthic infection worldwide, endemic in Central and South America, sub-Saharan Africa, and Southeast Asia. Neurocysticercosis typically involves brain parenchyma, subarachnoid space, and the ventricular system. Although the spinal cord is frequently involved in patients with parenchymal neurocysticercosis, isolated spinal involvement is rare, occurring in only 1-3% of patients. We report a case of racemose spinal neurocysticercosis with brain parenchyma involvement in a 49-year-old Mexican man, who presented with unsteady gait and bilateral arm numbness and weakness. Magnetic resonance imaging revealed multiseptated cystic lesions in the upper cervical spinal canal and nonenhancing intradural extramedullary cystic lesions in the thoracic spine. The patient underwent sub-occipital craniectomy with decompression, followed by a course of steroids and albendazole. Pathology confirmed the diagnosis of neurocysticercosis, and the patient's symptoms resolved after treatment. We include discussion on the symptoms, diagnosis, and treatment of neurocysticercosis with a focus on the spinal form.
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Affiliation(s)
- Hussam A Yacoub
- a Lehigh Valley Physician Group - Neurology, Lehigh Valley Health Network , Allentown , PA , USA
| | - Ira Goldstein
- b Neurological Institute of New Jersey , Rutgers, the State University of New Jersey , Newark , NJ , USA
| | - Mohammad El-Ghanem
- b Neurological Institute of New Jersey , Rutgers, the State University of New Jersey , Newark , NJ , USA
| | - Leroy Sharer
- c Department of Pathology& Laboratory Medicine , Rutgers, the State University of New Jersey , Newark , NJ , USA
| | - Nizar Souayah
- b Neurological Institute of New Jersey , Rutgers, the State University of New Jersey , Newark , NJ , USA
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Tyagi R. Spinal infections in children: A review. J Orthop 2016; 13:254-8. [PMID: 27408498 DOI: 10.1016/j.jor.2016.06.005] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2016] [Revised: 05/29/2016] [Accepted: 06/07/2016] [Indexed: 11/26/2022] Open
Abstract
Spinal infections are uncommon but significant causes of morbidity and hospitalization in the paediatric population. These infections encompass a broad range of conditions, from discitis to osteomyelitis and spinal epidural and intramedullary abscesses. Paediatric spinal infections can be caused by a range of bacterial, viral, fungal and parasitic agents. Ultrastructural differences of the vertebrae and associated structures result in distinct mechanisms of pathogenesis of spinal infections in children compared to adults. The non-specific nature of symptoms produced by them can cause considerable diagnostic delays. Magnetic Resonance (MR) imaging can facilitate early identification of the disease, and distinguish it from other spinal pathologies. The association of antimicrobial resistant bacterial strains from some of the cases appears worrisome; as is the increasing incidence of Kingella kingae infections causing spinal infections. Rest and immobilization are the general treatment, and prompt initiation of antimicrobial therapy is warranted to ensure optimal clinical outcome. Most patients generally have a good prognosis; however, early identification and prompt initiation of antimicrobial therapy is essential to achieve the best therapeutic response.
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Affiliation(s)
- Rahul Tyagi
- Department of Orthopaedics, University Hospital Ayr, Dalmellington Rd., Ayr KA6 6DX, United Kingdom
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Spinal Taenia solium cysticercosis in Mexican and Indian patients: a comparison of 30-year experience in two neurological referral centers and review of literature. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2015; 25:1073-81. [PMID: 26474877 DOI: 10.1007/s00586-015-4271-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/19/2015] [Revised: 09/30/2015] [Accepted: 09/30/2015] [Indexed: 10/22/2022]
Abstract
OBJECTIVE To present a retrospective study from patients with spinal cysticercosis (SC), diagnosed within the last 30 years in Mexican and Indian neurological referral centers. METHODS This is a retrospective and comparative study of the clinical and radiological profile between Mexican and Indian patients with spinal neurocysticercosis during a 30-year period and a review of the literature during the same period. RESULTS Twenty-seven SC patients were included: 19 from Mexico and 8 from India. SC presented predominantly with motor symptoms (21/27 patients): paraparesis and paraplegia were the most common signs; one-third of patients presented sphincter dysfunction. Imaging studies showed that parasites in vesicular stage were more frequent in patients from Mexico, while degenerative stages predominated in India. Association of subarachnoid cysticerci and hydrocephalus was observed only in Mexican patients. CONCLUSIONS Despite the limitations of this study, the collected information supports the existence of differences in the clinical and radiological traits of SC patients between Asian and Latin-American hospitals. The possible biological factors that may underlie these differences are discussed.
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Han SB, Kwon HJ, Choi SW, Koh HS, Kim SH, Song SH, Youm JY. Lumbar intradural neurocysticercosis: a case report. KOREAN JOURNAL OF SPINE 2014; 11:205-8. [PMID: 25346771 PMCID: PMC4206969 DOI: 10.14245/kjs.2014.11.3.205] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/02/2014] [Revised: 08/25/2014] [Accepted: 09/01/2014] [Indexed: 11/19/2022]
Abstract
Cysticercosis is the most common parasitic disease affecting the central nervous system. Spinal involvement is rare in neurocysticercosis, and isolated spinal involvement without evidence of cranial involvement is even rarer. We report an unusual case of neurocysticercosis with isolated spinal involvement. A 59 year-old male presented with radiating pain in the left leg. He complained of aggravating weakness and numbness in the left leg since his previous visit one month ago. Magnetic resonance imaging (MRI) revealed multiple peripheral wall-enhanced intradural cystic masses from L1 to L5. The patient underwent a total laminectomy of L4. Dissection revealed abnormal cystic masses compressing the nerve roots. The cyst was punctured, spilling clear mucoid fluid into the surgical field. The exposed cysticerci, white and mucoid, was easily removed. Patient received course of steroids and oral albendazole. The patient experienced symptomatic improvement without further neurologic deficits except for mild sensory impairment. Clinicians should include spinal neurocysticercosis in differential diagnosis of radiculopathies. Although isolated spinal neurocysticercosis is rare, it can be satisfactorily managed with surgery and medication.
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Affiliation(s)
- Sang-Beom Han
- Department of Neurosurgery, Chungnam National University School of Medicine, Daejeon, Korea
| | - Hyon-Jo Kwon
- Department of Neurosurgery, Chungnam National University School of Medicine, Daejeon, Korea
| | - Seung-Won Choi
- Department of Neurosurgery, Chungnam National University School of Medicine, Daejeon, Korea
| | - Hyeon-Song Koh
- Department of Neurosurgery, Chungnam National University School of Medicine, Daejeon, Korea
| | - Seon-Hwan Kim
- Department of Neurosurgery, Chungnam National University School of Medicine, Daejeon, Korea
| | - Shi-Hun Song
- Department of Neurosurgery, Chungnam National University School of Medicine, Daejeon, Korea
| | - Jin-Young Youm
- Department of Neurosurgery, Chungnam National University School of Medicine, Daejeon, Korea
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Del Brutto OH, Garcia HH. Intramedullary cysticercosis of the spinal cord: A review of patients evaluated with MRI. J Neurol Sci 2013; 331:114-7. [DOI: 10.1016/j.jns.2013.05.025] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2013] [Revised: 05/15/2013] [Accepted: 05/17/2013] [Indexed: 11/25/2022]
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Carvalho GBDS, Sandim GB, Tibana LAT, Tertulino FF, Idagawa MH, Abdala N. Diagnóstico diferencial das lesões inflamatórias e infecciosas do cone medular utilizando a ressonância magnética. Radiol Bras 2013. [DOI: 10.1590/s0100-39842013000100014] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
O cone medular é frequentemente acometido por lesões de etiologia inflamatória e infecciosa, muitas vezes de difícil diferenciação devido a história clínica e exame físico semelhantes entre as diversas entidades. A ressonância magnética apresenta alta sensibilidade na detecção de lesões no cone medular e tem importante papel no diagnóstico e controle evolutivo. Este ensaio iconográfico com casos selecionados dos arquivos do nosso serviço tem como objetivo demonstrar achados de imagem que possam auxiliar no diagnóstico de uma etiologia específica entre as doenças inflamatórias e infecciosas e na diferenciação com doenças de outras etiologias como neoplasias e causas vasculares. Características como padrão de realce, presença de cistos, edema, além do acometimento de outras regiões do sistema nervoso central são importantes para esta diferenciação, podendo definir uma etiologia específica quando associadas ao quadro clínico e laboratorial.
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Kapu R, Singh MK, Pande A, Vasudevan MC, Ramamurthi R. Intradural extramedullary cysticercal abscess of spine. Trop Parasitol 2012; 2:131-4. [PMID: 23767023 PMCID: PMC3680876 DOI: 10.4103/2229-5070.105181] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2012] [Accepted: 12/28/2012] [Indexed: 11/29/2022] Open
Abstract
Neurocysticercosis (NCC) is one of the most common parasitic diseases affecting the central nervous system. Typically spinal NCC involvement has a concomitant cranial involvement. Spinal involvement by NCC, either intramedullary or extramedullary is very uncommon. The authors report a case of D12-L1 intradural extramedullary lesion in a 38-year-old female patient who presented with complaints of back pain and weakness of lower limbs. She underwent laminectomy and excision of the lesion. Histopathology revealed extramedullary cysticercal abscess. Post-operatively she was treated with albendazole. She had a successful recovery post-operatively and at 8 months follow up had no neurological deficits. This current case presents a very rare case of cysticercal abscess of dorsolumbar spine, without any evidence of cranial involvement. This report is to reemphasize the importance of including NCC as a differential diagnosis in intradural extramedullary lesion at the conus level in endemic areas like India.
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Affiliation(s)
- Ravindranath Kapu
- Department of Neurosurgery, Dr. A. Lakshmipathi Neurosurgical Centre, VHS Hospital, Chennai, India
| | - Manish Kumar Singh
- Department of Neurosurgery, Dr. A. Lakshmipathi Neurosurgical Centre, VHS Hospital, Chennai, India
| | - Anil Pande
- Department of Neurosurgery, Dr. A. Lakshmipathi Neurosurgical Centre, VHS Hospital, Chennai, India
| | | | - Ravi Ramamurthi
- Department of Neurosurgery, Dr. A. Lakshmipathi Neurosurgical Centre, VHS Hospital, Chennai, India
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Qi B, Ge P, Yang H, Bi C, Li Y. Spinal intramedullary cysticercosis: a case report and literature review. Int J Med Sci 2011; 8:420-3. [PMID: 21814474 PMCID: PMC3149420 DOI: 10.7150/ijms.8.420] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2011] [Accepted: 06/14/2011] [Indexed: 11/05/2022] Open
Abstract
Neurocysticercosis, involvement of the central nervous system by taenia solium, is one of the most common parasitic diseases of the CNS. However, spinal involvement by neurocysticercosis is uncommon. Here, we reported a 40-year-old woman with intramedullary cysticercosis in the thoracic spinal cord. MRI revealed two well-defined round intramedullary lesions at T4 and T5 vertebral levels, which were homogeneously hypointense on T1WI and hyperintense on T2WI with peripheral edema. Since the patient had progressive neurological deficits, surgery was performed to decompress the spinal cord. Histopathology examination of the removed lesion proved it was intramedullary cysticercosis. In this report, we also discussed the principles of diagnosis and treatment of intramedullary cysticercosis in combination of literature review.
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Affiliation(s)
- Bin Qi
- Department of Neurosurgery, The First Hospital of Jilin University, Changchun 130021, China
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Chhiber SS, Singh B, Bansal P, Pandita KK, Razdan S, Singh J. Intramedullary spinal cysticercosis cured with medical therapy: case report and review of literature. ACTA ACUST UNITED AC 2009; 72:765-8; discussion 768-9. [PMID: 19818478 DOI: 10.1016/j.surneu.2009.06.011] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2009] [Accepted: 06/11/2009] [Indexed: 11/26/2022]
Abstract
BACKGROUND Spinal intramedullary cysticercosis is a very uncommon manifestation of NCC, which is caused by the larvae of Taenia solium. CASE DESCRIPTION We report a case of spinal intramedullary cysticercosis who presented subacutely. Magnetic resonance imaging dorsal spine and CSF ELISA clinched the diagnosis. Eight weeks of medical therapy resulted in complete clinicoradiological cure. CONCLUSION Surgery used to be the mainstay treatment for spinal intramedullary cysticercosis; however, early diagnosis and medical therapy with albendazole and dexamethasone can obviate the need for surgery in many patients.
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Paterakis KN, Kapsalaki E, Hadjigeorgiou GM, Barbanis S, Fezoulidis I, Kourtopoulos H. Primary spinal intradural extramedullary cysticercosis. ACTA ACUST UNITED AC 2007; 68:309-11; discussion 312. [PMID: 17719976 DOI: 10.1016/j.surneu.2006.10.060] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2006] [Accepted: 10/19/2006] [Indexed: 11/17/2022]
Abstract
BACKGROUND Spinal cysticercosis represents an uncommon localization of a common parasitic disease and, in most cases, is associated with intracranial involvement. Once confirmed, the entire neuraxis should be evaluated. CASE DESCRIPTION We present an unusual case of a 60-year-old male patient with isolated localization of spinal intradural extramedullary cysticercosis. The patient was treated successfully with the combination of surgical excision and orally administered albendanzole. We discuss the treatment options, the diagnostic screening, and the possible route of dissemination. CONCLUSIONS Because this is a rare but potentially life-threatening disease, clinicians should always take it into consideration in the differential diagnosis of spinal space-occupying lesions.
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Ahmad FU, Sharma BS. Treatment of intramedullary spinal cysticercosis: report of 2 cases and review of literature. ACTA ACUST UNITED AC 2007; 67:74-7; discussion 77. [PMID: 17210306 DOI: 10.1016/j.surneu.2006.03.034] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2005] [Accepted: 03/08/2006] [Indexed: 11/26/2022]
Abstract
BACKGROUND NCC, Taenia solium involvement in the central nervous system, is one of the most common parasitic diseases. Spinal IMC is one of the rarest forms of NCC. CASE DESCRIPTION We report 2 cases (an 8-year-old child and a 35-year-old woman) of spinal IMC. Both cysts were dorsal in location. MRI was diagnostic in both cases. One case was treated surgically because of acute presentation. The other cyst healed with treatment with albendazole. Both patients had good clinical outcomes. CONCLUSION With medical management, IMC may take 1 year to resolve on MRI.
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Affiliation(s)
- Faiz Uddin Ahmad
- Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi 110029, India
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Abstract
Neurocysticercosis, the infection of the human brain by the larvae of Taenia solium, is a major cause of acquired epilepsy in most low-income countries. Cases of neurocysticercosis are becoming more common in high-income countries because of increased migration and travel. Diagnosis by neuroimaging and serological assessment has greatly improved over the past decade, and the natural progression of the disease and response to antiparasitic drugs is now much better understood. Neurocysticercosis is potentially eradicable, and control interventions are underway to eliminate this infection. Meanwhile, updated information on diagnosis and management of neurocysticercosis is required, especially for clinicians who are unfamiliar with its wide array of clinical presentations.
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Affiliation(s)
- Hector H Garcia
- Cysticercosis Unit, Institute of Neurological Sciences, Lima, Peru.
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Torabi AM, Quiceno M, Mendelsohn DB, Powell CM. Multilevel intramedullary spinal neurocysticercosis with eosinophilic meningitis. ACTA ACUST UNITED AC 2004; 61:770-2. [PMID: 15148157 PMCID: PMC3902854 DOI: 10.1001/archneur.61.5.770] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
BACKGROUND Cysticercal involvement of the spinal cord is a very rare form of neurocysticercosis. Intramedullary cysts are even less common. OBJECTIVE To describe a novel presentation of multilevel intramedullary neurocysticercosis with eosinophilic meningitis. DESIGN Case report. PATIENT A 35-year-old man with a history of cerebral neurocysticercosis who presented with both cauda equina and Brown-Sequard syndromes associated with cerebrospinal fluid findings of eosinophilic meningitis. RESULTS Magnetic resonance imaging confirmed the multilevel intramedullary cord lesions. The patient was treated medically with dexamethasone and albendazole and had a good recovery. CONCLUSION Intramedullary neurocysticercosis should be considered as a potentially treatable cause of multilevel spinal lesions with subacute meningitis.
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Affiliation(s)
- Amir M Torabi
- Department of Neurology, The University of Texas Southwestern Medical Center, Dallas, USA
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