A rare case of recurrence of primary spinal neurocysticercosis mimicking an arachnoid cyst

Pal, Anirban; Biswas, Chaitali; Ghosh, Tapas; Deb, Pulak

doi:10.4103/1793-5482.144176

Cited by 9 publications

(6 citation statements)

References 13 publications

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“…(12,13) The patient and his relatives were given the pertinent recommendations and measures to prevent the disease: correct hand washing (soap and water or glycerinated alcohol) before and after consuming food and after contact with another person (4); adequate disposal of feces in the rural area; exclusive consumption of drinking water; environmental sanitation, and management of pigs under the current regulations. (9,14) The signs and symptoms of NCC depend on the location, number, dimensions, cysticercus stage (vesicular, colloidal, granular-nodular and calcified nodule), genotype and immune status of the host.…”

Section: Discussionmentioning

confidence: 99%

Recurrent neurocysticercosis of the frontal lobe. Case report

2018

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Introduction: Neurocysticercosis (NCC) is the result of ingestion of pork tapeworm eggs (Taenia solium) from an individual with taeniasis (taeniasis/cysticercosis complex). This disease causes the highest helminthic-related morbidity and mortality rates due to its deleterious effects on the central nervous system. 80% of the cases can be asymptomatic and 20% show non-specific clinical manifestations.

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Section: Discussionmentioning

confidence: 99%

Recurrent neurocysticercosis of the frontal lobe. Case report

2018

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“…Cyst enlargement or progressive symptoms were often observed during medical treatment or shortly afterward that required surgical cyst resection. 3 To our knowledge this is the first reported case of delayed complications and management from expansion of these sterile cysts.…”

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confidence: 78%

“…Cyst enlargement or progressive symptoms were often observed during medical treatment or shortly afterward that required surgical cyst resection. 3 To our knowledge this is the first…”

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confidence: 90%

Late Onset Symptomatic Enlargement of Treated Spinal Intradural Neurocysticercosis Cyst

Gorjian

Ricks

2022

The Neurohospitalist

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Cyst enlargement with progressive symptoms in spinal intradural Neurocysticercosis (NCC) is an uncommon finding after effective treatment of NCC. Neither imaging nor clinical presentation is sufficient to differentiate a sterile arachnoid cyst from recurrence of NCC. We present a case of symptomatic spinal intradural cyst enlargement 16 years after successful treatment of intracranial and spinal NCC with anti-helminthics.

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“…The most common clinical presentations of spinal NCC are myelopathy and progressive weakness caused by cord compression, though this may differ depending on relevant spinal levels. [2,3,5,6] The subject of our case report is an interesting presentation of NCC where the initial radiologic findings were more suggestive of other non-parasitic cystic pathology, but was later found to have concurrent subarachnoid and spinal NCC. Ultimately this case presents an excellent teaching opportunity and addition to the discussion surrounding NCC…”

Section: Introductionmentioning

confidence: 87%

“…Humans are the definitive host for Taenia solium, though both humans and pigs can act as intermediate hosts and can shelter and shed larvae for transmission and infection of others. [1][2][3][4][5][6][7][8] NCC has been cited as the most common helminthic disease of the CNS in humans and accounts for upwards of 30% of epilepsy cases within endemic areas (Latin America, sub-Saharan Africa, India, and Southern Asia) [8,11,[13][14][15]36,40,44]. However, immigration is associated with increases in non-endemic areas, including the United States and Europe.…”

Section: Introductionmentioning

confidence: 99%

Concurrent Extraparenchymal and Spinal Neurocysticercosis in an Immunocompetent Patient Treated for Obstructive Hydrocephalus and Spinal Cord Compression

D. Williams

2024

IJCCR

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Introduction: Neurocysticercosis (NCC) is a condition caused by infection of the central nervous system (CNS) by Taenia solium, or pork tapeworm, larvae. Despite commonly infecting the CNS, it may be easily misdiagnosed for more common pathologies, such as arachnoid cysts or tumors. Though most frequently seen in endemic areas, immigration patterns are altering its traditional distribution. Extraparenchymal neurocysticercosis (including ventricular, spinal, and subarachnoid types) carries a poorer prognosis Objective: We present a case of NCC presenting in a young immunocompetent patient which was initially thought to be an arachnoid cyst due to non-pathognomonic imaging results and symptoms. This case illustrates a challenging NCC diagnosis. Case Report: A 24-year-old male without known past medical history presented with 2 years of chronic headache, 2 months of blurry vision in the left eye, and 1 week of progressive nausea and vomiting found to have aqueductal stenosis with obstructive hydrocephalus and bilateral 1.5 cm, peripherally-enhancing cystic lesions of the cerebellopontine angle with associated mass effect, initially described as arachnoid cysts, as well as a left sided foramen magnum cyst. He had an external ventricular drain placed and later underwent ventriculoperitoneal shunt (VPS) insertion. He presented 10 days later with sepsis symptoms and the initial workup was concerning for tuberculosis-associated meningitis and he underwent shunt externalization and re-internalization after clinical improvement, though he was lost to follow up. Two months later he presented with acute urinary retention and right sided weakness. He had spinal cord compression of the cervicothoracic and thoracolumbar spine due to cystic lesion and underwent right C7-T1 and T10-T11 hemilaminotomies for cyst resection, with pathology consistent with NCC. Conclusion: Neurocysticercosis (NCC) is a complex disease which is largely overlooked and is increasing in prevalence in non-endemic areas such as the United States. NCC has various symptoms and presentations depending on location and progression of larval development, which may mimic more common pathologies. The clinical manifestations depend on the parasite load and the host’s immune response regarding their location in CNS and their evolutionary stage. There are two types of NCC, the parenchymal and the extraparenchymal form. The extraparenchymal racemose NCC has the worst prognosis among all forms of NCC with mortality ranging between 30% and 80%. This reinforces the need for a broad differential diagnosis in these scenarios, as well as the importance of close Infectious Disease follow up for patients diagnosed with concurrent cranial and spinal NCC.

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A rare case of recurrence of primary spinal neurocysticercosis mimicking an arachnoid cyst

Cited by 9 publications

References 13 publications

Recurrent neurocysticercosis of the frontal lobe. Case report

Recurrent neurocysticercosis of the frontal lobe. Case report

Late Onset Symptomatic Enlargement of Treated Spinal Intradural Neurocysticercosis Cyst

Concurrent Extraparenchymal and Spinal Neurocysticercosis in an Immunocompetent Patient Treated for Obstructive Hydrocephalus and Spinal Cord Compression

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