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Transient Transduction of the Strobilated Forms of Echinococcus granulosus
13:25

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Published on: September 16, 2022

Intramedullary cysticercosis.

S Kumar1, A Handa, S Chavda

  • 1Department of Neurosurgery, St Stephen's Hospital, Marg Tis Hazari, Delhi 110 054, India.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|February 2, 2010
PubMed
Summary
This summary is machine-generated.

Intramedullary cysticercosis, a rare spinal cord infection, was successfully treated in a patient presenting with neurological deficits. Surgical removal of the cysticercus granuloma followed by albendazole led to significant recovery.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Neurosurgery

Background:

  • Intramedullary cysticercosis is a rare parasitic infection affecting the spinal cord.
  • Neurocysticercosis, caused by the larval cysts of Taenia solium, can manifest in the central nervous system.
  • Spinal cord involvement presents unique diagnostic and management challenges.

Observation:

  • A 55-year-old female presented with progressive low back pain, urinary incontinence, paraparesis, and sensory deficits.
  • Magnetic resonance imaging (MRI) revealed a well-defined, contrast-enhancing intramedullary cystic lesion at the T7 vertebral level.
  • The clinical presentation and imaging findings were suggestive of an intraspinal parasitic cyst.

Findings:

  • Surgical laminectomy and complete excision of the T7-T8 intramedullary lesion were performed.
  • Histopathological examination confirmed the lesion to be a cysticercus granuloma, indicative of cysticercosis.
  • Postoperative treatment with albendazole was administered to eradicate any remaining parasites.

Implications:

  • This case highlights the importance of considering cysticercosis in the differential diagnosis of intramedullary spinal cord lesions, even in non-endemic areas.
  • Successful surgical management combined with antiparasitic therapy can lead to substantial neurological recovery.
  • Early diagnosis and prompt intervention are crucial for optimizing outcomes in patients with intramedullary cysticercosis.