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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Main Authors:	Han, Sang-Beom, Kwon, Hyon-Jo, Choi, Seung-Won, Koh, Hyeon-Song, Kim, Seon-Hwan, Song, Shi-Hun, Youm, Jin-Young
Format:	Online
Language:	English
Published:	The Korean Spinal Neurosurgery Society 2014
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4206969/

id	pubmed-4206969
recordtype	oai_dc
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 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.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Han, Sang-Beom Kwon, Hyon-Jo Choi, Seung-Won Koh, Hyeon-Song Kim, Seon-Hwan Song, Shi-Hun Youm, Jin-Young
spellingShingle	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
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
title	Lumbar Intradural Neurocysticercosis: A Case Report
title_short	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_sort	lumbar intradural neurocysticercosis: a case report
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.
publisher	The Korean Spinal Neurosurgery Society
publishDate	2014
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4206969/
_version_	1613147922748145664

Lumbar Intradural Neurocysticercosis: A Case Report

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