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Isolated intramedullary spinal cord cysticercosis
Zeeshan Qazi1, Bal Krishna Ojha1, Anil Chandra1
1Department of Neurosurgery, King George's Medical University, Lucknow, Uttar Pradesh, India.
Journal of Neurosciences in Rural Practice
|December 26, 2014
Summary
Neurocysticercosis, a rare spinal cord condition, can cause neurological deficits. This case highlights intramedullary cysticercosis in a young man presenting with lower limb weakness and urinary issues.
Area of Science:
- Neurology
- Infectious Diseases
- Radiology
Background:
- Neurocysticercosis is a significant cause of epilepsy, particularly in developing nations.
- Spinal cord cysticercosis is an uncommon manifestation, representing a small percentage of overall cases.
Observation:
- A 19-year-old male presented with bilateral lower limb weakness and urinary dysfunction.
- Magnetic Resonance Imaging (MRI) identified a cystic lesion in the thoracic-lumbar spinal cord (D11-L1).
Findings:
- Pathological examination confirmed the lesion as intramedullary cysticercosis.
- This rare presentation involved the spinal cord's central gray matter.
Implications:
- Early diagnosis and treatment of spinal cysticercosis are crucial for preventing neurological damage.
- This case underscores the importance of considering parasitic infections in the differential diagnosis of spinal cord lesions, even in rare forms.

