Chronic Myelopathy Associated to Intramedullary Cysticercosis

Gonçalves, Fabrício Guimarães; Neves, Priscilla Ornellas; Jovem, Cássio Lemos; Caetano, Candice; Maia, Livia Bravo

doi:10.1097/brs.0b013e3181c89f2c

Cited by 20 publications

(8 citation statements)

References 13 publications

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“…Leptomeningeal neurocysticercosis is the most common presentation, affecting the subarachnoid space by means of intracranial migration. Intramedullary involvement is rarely observed and occurs generally in the thoracic segment (5,7) .…”

Section: Neurocysticercosismentioning

confidence: 99%

“…In medullary neurocysticercosis, the clinical picture depends on the compression and edema mechanisms, as well as on the inflammatory response. It may be either asymptomatic or present signs and symptoms of myelopathy, including radiating pain, flaccid or spastic paresthesia, and neurogenic bladder (5,7,8) .…”

Section: Neurocysticercosismentioning

confidence: 99%

“…The scolex is represented by an eccentric nodule near the cyst wall, and its identification is diagnostic. In cysts with some degree of degeneration, peripheral postcontrast enhancement can be observed (7,8) .…”

Section: Neurocysticercosismentioning

confidence: 99%

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Diagnóstico diferencial das lesões inflamatórias e infecciosas do cone medular utilizando a ressonância magnética

et al. 2013

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The conus medullaris is frequently affected by inflammatory and infectious lesions which many times are hardly differentiated because of the similarity of their clinical history and physical examination among the different etiologies. Magnetic resonance imaging presents high sensitivity in the detection of these lesions and plays a relevant role in the diagnosis as well as in the evolutive control of the condition. The present pictorial essay with selected cases from the archives of the authors' institution is aimed at demonstrating imaging findings which might help in the diagnosis of a specific etiology amongst inflammatory an infectious conditions and in the differentiation with diseases of neoplastic and vascular etiologies, for example. Findings such as enhancement pattern, presence of cysts, edema and involvement of other regions of the central nervous system are important for this differentiation, and may define a specific etiology as associated with clinical and laboratory tests findings.O cone medular é frequentemente acometido por lesões de etiologia inflamatória e infecciosa, muitas vezes de difícil diferenciação devido a história clínica e exame físico semelhantes entre as diversas entidades. A ressonância magnética apresenta alta sensibilidade na detecção de lesões no cone medular e tem importante papel no diagnóstico e controle evolutivo. Este ensaio iconográfico com casos selecionados dos arquivos do nosso serviço tem como objetivo demonstrar achados de imagem que possam auxiliar no diagnóstico de uma etiologia específica entre as doenças inflamatórias e infecciosas e na diferenciação com doenças de outras etiologias como neoplasias e causas vasculares. Características como padrão de realce, presença de cistos, edema, além do acometimento de outras regiões do sistema nervoso central são importantes para esta diferenciação, podendo definir uma etiologia específica quando associadas ao quadro clínico e laboratorial. Unitermos: Ressonância magnética; Mielite; Mielite transversa; Esquistossomose. Abstract ResumoCarvalho GBS, Sandim GB, Tibana LAT, Tertulino FF, Idagawa MH, Abdala N. Magnetic resonance imaging in the differential diagnosis of infectious and inflammatory conus medullaris lesions. Radiol Bras. 2013 Jan/Fev;46(1):51-55. 0100-3984 © Colégio Brasileiro de Radiologia e Diagnóstico por Imagem

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Section: Neurocysticercosismentioning

confidence: 99%

Section: Neurocysticercosismentioning

confidence: 99%

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Diagnóstico diferencial das lesões inflamatórias e infecciosas do cone medular utilizando a ressonância magnética

et al. 2013

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“…1,2 It can be classified anatomically as extraspinal (vertebral) or intraspinal (epidural, subdural, arachnoid or intramedullary) of which intramedullary type is quite rare. [3][4][5][6][7] We report a case of intramedullary cysticercosis at C4 and C5 level and discussed its diagnosis and treatment with literature review.…”

Section: Introductionmentioning

confidence: 99%

Cervical spine intramedullary cysticercosis in a young adult - a case report and literature review

Hedaoo¹,

Garg²,

Thanvi³

et al. 2017

Int J Res Med Sci

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Neurocysticercosis, is the most common central nervous system parasitic infestation worldwide, but spinal involvement by neurocysticercosis is relatively rare. Here we report a case of 18-year-old male patient with intramedullary cysticercosis caused by Tenia soleum in cervical spinal cord. MRI revealed expansile illdefined intramedullary mass at C4 and C5 vertebral level which believed to be a tumor instead, rather than a cysticercosis preoperatively. surgery was performed to decompress the spinal cord. Histopathological examination of removed lesion confirmed it as cysticercosis.

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“…[1,2] According to the cysticercus location in spine, cysticercosis has been classified anatomically as extraspinal (vertebral) or intraspinal (epidural, subdural, arachnoid, or intramedullary), of which the intramedullary type is quite rare and only 54 cases have been reported until 2012. [3][4][5][6][7][8]…”

Section: Introductionmentioning

confidence: 99%

Cysticercosis of conus medullaris: A case report and literature review

Verma¹,

Gupta

Swamy³

et al. 2017

IJNS

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?Neurocysticercosis? - involvement of the central nervous system (CNS) by taenia solium, is one of the most common parasitic diseases of the CNS. However, spinal involvement by neurocysticercosis is uncommon. Spinal intramedullary cysticercosis involving the conus medullaris is an uncommon clinical condition, which may mimic an intramedullary tumor and can lead to irreversible neurological deficits if untreated. Here, we report a 31-year-old male patient with cysticercosis in the conus medullaris of the spinal cord. Magnetic resonance imaging revealed a well-defined round intramedullary lesion at D12-L1 vertebral levels, which was homogeneously hypointense on T1WI and hyperintense on T2WI with peripheral edema. Since the patient had progressive neurological deficits, surgery was performed to decompress the spinal cord. Histopathology examination of the removed lesion proved it to be cysticercosis. In this report, we also discuss the principles of diagnosis and treatment of intramedullary cysticercosis in combination with literature review.

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Chronic Myelopathy Associated to Intramedullary Cysticercosis

Cited by 20 publications

References 13 publications

Diagnóstico diferencial das lesões inflamatórias e infecciosas do cone medular utilizando a ressonância magnética

Diagnóstico diferencial das lesões inflamatórias e infecciosas do cone medular utilizando a ressonância magnética

Cervical spine intramedullary cysticercosis in a young adult - a case report and literature review

Cysticercosis of conus medullaris: A case report and literature review

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