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Lumbar Intradural Neurocysticercosis: A Case Report

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 invol...

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Autores principales: Han, Sang-Beom, Kwon, Hyon-Jo, Choi, Seung-Won, Koh, Hyeon-Song, Kim, Seon-Hwan, Song, Shi-Hun, Youm, Jin-Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Spinal Neurosurgery Society 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4206969/
https://www.ncbi.nlm.nih.gov/pubmed/25346771
http://dx.doi.org/10.14245/kjs.2014.11.3.205
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author Han, Sang-Beom
Kwon, Hyon-Jo
Choi, Seung-Won
Koh, Hyeon-Song
Kim, Seon-Hwan
Song, Shi-Hun
Youm, Jin-Young
author_facet Han, Sang-Beom
Kwon, Hyon-Jo
Choi, Seung-Won
Koh, Hyeon-Song
Kim, Seon-Hwan
Song, Shi-Hun
Youm, Jin-Young
author_sort Han, Sang-Beom
collection PubMed
description 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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spelling pubmed-42069692014-10-24 Lumbar Intradural Neurocysticercosis: A Case Report Han, Sang-Beom Kwon, Hyon-Jo Choi, Seung-Won Koh, Hyeon-Song Kim, Seon-Hwan Song, Shi-Hun Youm, Jin-Young Korean J Spine Case Report 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. The Korean Spinal Neurosurgery Society 2014-09 2014-09-30 /pmc/articles/PMC4206969/ /pubmed/25346771 http://dx.doi.org/10.14245/kjs.2014.11.3.205 Text en Copyright © 2014 The Korean Spinal Neurosurgery Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Han, Sang-Beom
Kwon, Hyon-Jo
Choi, Seung-Won
Koh, Hyeon-Song
Kim, Seon-Hwan
Song, Shi-Hun
Youm, Jin-Young
Lumbar Intradural Neurocysticercosis: A Case Report
title Lumbar Intradural Neurocysticercosis: A Case Report
title_full Lumbar Intradural Neurocysticercosis: A Case Report
title_fullStr Lumbar Intradural Neurocysticercosis: A Case Report
title_full_unstemmed Lumbar Intradural Neurocysticercosis: A Case Report
title_short Lumbar Intradural Neurocysticercosis: A Case Report
title_sort lumbar intradural neurocysticercosis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4206969/
https://www.ncbi.nlm.nih.gov/pubmed/25346771
http://dx.doi.org/10.14245/kjs.2014.11.3.205
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