Intramedullary spinal cysticercosis cured with medical therapy: case report and review of literature

Chhiber, Sarbjit Singh; Singh, Bikram Jit; Bansal, Payal; Pandita, Kamal Kumar; Razdan, Susheel; Singh, Jangbahudar

doi:10.1016/j.surneu.2009.06.011

Cited by 31 publications

(20 citation statements)

References 15 publications

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“…Except for being used after surgery, Abendazole also could be used independently in the conservative treatment for the patients whom are highly suspected as intramedullary cysticercosis and whose clinical courses are stable. The potential advantages of medical therapy alone include avoidance of surgery and treatment of surgically unreachable and multifocal cysticercus2,3,5,7,17.…”

Section: Discussionmentioning

confidence: 99%

“…However, the spinal cysticercosis is rare, representing 1.2% to 5.8% of all cases of neurocysticercosis19, 20. 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 fifty-three cases have been reported until 20101-3,8,13. Here, we reported a case of intramedullary cysticercosis at T4 and T5 vertebral level and discussed its diagnosis and treatment with literature review.…”

Section: Introductionmentioning

confidence: 99%

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Spinal Intramedullary Cysticercosis: A Case Report and Literature Review

Ge²,

Yang³

et al. 2011

Int. J. Med. Sci.

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Neurocysticercosis, involvement of the central nervous system by taenia solium, is one of the most common parasitic diseases of the CNS. However, spinal involvement by neurocysticercosis is uncommon. Here, we reported a 40-year-old woman with intramedullary cysticercosis in the thoracic spinal cord. MRI revealed two well-defined round intramedullary lesions at T4 and T5 vertebral levels, which were 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 was intramedullary cysticercosis. In this report, we also discussed the principles of diagnosis and treatment of intramedullary cysticercosis in combination of literature review.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Spinal Intramedullary Cysticercosis: A Case Report and Literature Review

Ge²,

Yang³

et al. 2011

Int. J. Med. Sci.

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“…22 Except for being used after surgery, Albendazole also could be used independently in the conservative treatment for the patients whom are highly suspected as intramedullary cysticercosis and whose clinical courses are stable .The potential advantages of medical therapy alone include avoidance of surgery and treatment of surgically unreachable and multifocal cysticercus. 4,5,10,16,21 …”

Section: -15mentioning

confidence: 99%

“…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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“…22 Spinal arachnoiditis is characterized by root pain and weakness of subacute onset, and cysts in the spinal cord parenchyma usually present with motor and sensory deficits that vary according to the level of the lesion. 23 Intraocular cysticerci cause progressive decrease in visual acuity or visual field defects related to vitritis, uveitis, or endophthalmitis. 24 Diagnosis Introduction of computed tomography (CT) and magnetic resonance imaging (MRI) changed the diagnostic accuracy for neurocysticercosis, as they provide evidence on the number and topography of lesions and their stage of involution.…”

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confidence: 99%

Neurocysticercosis

Brutto¹

2014

The Neurohospitalist

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Neurocysticercosis, the most common helminthic infection of the nervous system, is a major cause of acquired epilepsy worldwide. The disease occurs when humans become intermediate hosts of the tapeworm Taenia solium after ingesting its eggs by contagion from an asymptomatic Taenia carrier. Within the nervous system, parasites may locate in brain parenchyma, subarachnoid space, ventricular system, or spinal cord, causing several pathological changes that are responsible for the clinical pleomorphism of the disease. Seizures are the most common clinical manifestation, but a sizable proportion of patients develop focal deficits, intracranial hypertension, or cognitive decline. Preoperative diagnosis of neurocysticercosis is possible after proper integration of data from neuroimaging studies and immunological tests. Cysticidal drugs (albendazole and praziquantel) have changed the prognosis of most patients with neurocysticercosis. The use of these drugs has shown to reduce the parasite load within the central nervous system and to improve the clinical prognosis of the disease in many cases. Future studies should focus on disease eradication through the implementation of control programs against all the interrelated steps in the life cycle of T solium, including human carriers of the adult tapeworm, infected pigs, and eggs in the environment.

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Intramedullary spinal cysticercosis cured with medical therapy: case report and review of literature

Cited by 31 publications

References 15 publications

Spinal Intramedullary Cysticercosis: A Case Report and Literature Review

Spinal Intramedullary Cysticercosis: A Case Report and Literature Review

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

Neurocysticercosis

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