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Isolated intramedullary spinal cord cysticercosis
Shubhangi V Agale1, Shweta Bhavsar, Barnik Choudhury
1Department of Pathology, Grant Medical College, Mumbai, Maharashtra, India.
Asian Journal of Neurosurgery
|August 8, 2012
Summary
This case study highlights spinal cord neurocysticercosis, a rare parasitic infection, in a mentally impaired adult. Early diagnosis is crucial for effective treatment of this spinal mass lesion.
Area of Science:
- Neurology
- Infectious Diseases
- Parasitology
Background:
- Spinal neurocysticercosis is a rare parasitic infection caused by the larval cysts of the tapeworm Taenia solium.
- It can present as a spinal mass lesion, often mimicking other neurological conditions.
Observation:
- A 38-year-old mentally impaired male presented with progressive lower limb weakness and stiffness.
- Magnetic resonance imaging revealed an intradural, intramedullary lesion at the D10-11 level causing spinal cord compression.
- Surgical removal revealed a cysticercus cyst consistent with neurocysticercosis.
Findings:
- Microscopic examination confirmed the presence of a cysticercus cyst within the spinal cord.
- The lesion was a cystic mass with a nodule, measuring 1.5x1x0.8 cm.
- The cyst had a well-defined plane with the surrounding neural tissue.
Implications:
- Spinal neurocysticercosis should be included in the differential diagnosis of spinal mass lesions, particularly in endemic areas like India.
- This case underscores the importance of considering parasitic infections in neurological presentations.
- Prompt diagnosis and surgical intervention are essential for managing spinal cord compression due to neurocysticercosis.
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