Multilevel Intramedullary Spinal Neurocysticercosis With Eosinophilic Meningitis

Torabi, Amir M.; Quiceno, Mary; Mendelsohn, Dianne B.; Powell, Craig M.

doi:10.1001/archneur.61.5.770

Cited by 41 publications

(29 citation statements)

References 13 publications

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“…, and this would help explain why the most common region of IC is thoracic, followed by cerv ical, lumbar and sacral regions 2,8,12,15,20,22,23,25 . The cysticercus can cause direct mass effect, induce regional or distant inflammatory reaction, and medullar degeneration due to meningitis or vascular compre ssion and insuff i c i e n c y 5 , 8 , 1 0 , 1 2 , 1 4 , 1 6 , 2 6 .…”

Section: Discussionmentioning

confidence: 99%

“…It seems that albendazole is more e ffective for IC than praziquantel, as it is for cere b r a l c y s t i c e rc o s i s 1 8 . Dexamethasone is also used because it increases albendazole blood levels and attenuates treatment-associated inflammatory reactions 23 . IC is a rare condition, mainly at the sacral re g i o n , and the difficulties in making a definitive diagnosis a re greater in non-endemic areas.…”

Section: Discussionmentioning

confidence: 99%

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Intramedullary spinal cysticercosis simulating a conus medullaris tumor: case report

Guedes-Corrêa

Macedo²,

Vaitsman

et al. 2006

Arq. Neuro-Psiquiatr.

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-Cysticercosis is an endemic condition in many developing countries. Although it is the most common parasitic disease of the central nervous system, cysticercal involvement of the spinal cord is rare. It may occur as intradural extramedullary, intramedullary, intramedullary associated with intradurale x t r a m e d u l l a ry or as the vertebral presentation. We re p o rt the case of a 53-year-old woman who pre s e n ted with low back pain of acute onset and no other symptoms. Magnetic resonance imaging (MRI) showed an intramedullary cyst of the conus medullaris region which, at pathological examination, was diagnosed as a cysticercal cyst. She refused anticysticercal agents and steroids postoperatively. After an eight-year follow-up, the patient performs the activities of her daily living with no difficulties, and annual spinal MRIs show no residual signs of the disease. Clinical, pathofisiological, diagnostic and therapeutic aspects of spinal cord intramedullary cysticercosis are discussed.KEY WORDS: conus medullaris, cysticercosis, intramedullary cysticercosis, spinal cord.Cisticercose intramedular simulando tumor do cone medular: relato de caso RESUMO -Cisticercose é uma doença endêmica em vários países em desenvolvimento. Embora seja a doença parasitária mais freqüente do sistema nervoso central, o acometimento medular por cisticercos é raro. Pode o c o rrer nas formas intradural extramedular, intramedular isolada, intramedular em associação com intradural extramedular, além da forma vertebral. Relatamos o caso de mulher de 53 anos de idade que se apresentou com dor lombar de início agudo, sem outros sintomas. Ressonância magnética (RM) identificou imagem cística na região do cone medular que, no estudo histopatológico, foi diagnosticada como cisticerco. A paciente recusou tratamento pós-operatório com anti-helmínticos e corticosteróides. Após oito anos de seguimento, a paciente exerce suas atividades quotidianas sem dificuldades, e estudos de RM a n u a i s não mostram sinais de doença residual. Aspectos clínicos, fisiopatológicos, diagnósticos e terapêuticos da cisticercose intramedular são discutidos.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Intramedullary spinal cysticercosis simulating a conus medullaris tumor: case report

Guedes-Corrêa

Macedo²,

Vaitsman

et al. 2006

Arq. Neuro-Psiquiatr.

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“…However, spinal involvement of cysticercosis is exceedingly rare. According to the previous literature, the incidence of spinal cysticercosis ranges from 1 to 3% compared to intracranial cysticercosis 3,15) . Colli et al suggested the hypothesis of "sieve effect" at the transition level between intracranial and intraspinal subarachnoid space to account for the relatively lower incidence of spinal cysticercosis 5) .…”

Section: Discussionmentioning

confidence: 99%

“…There have been some controversies in the literature regarding surgical excision versus medical treatment for spinal cysticercosis 2,4,11,12,15) . The patients with severe neurologic symptoms caused by spinal cysticercosis are the best candidates for surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Severe adhesions between nervous tissue and cystic mass may make total resection of cyst difficult in some cases. Additionally, as surgery related high mortality and morbidity rate (15 and 85%, respectively) have been reported, medical treatment with cysticidal drugs may be tried 2,15) . Albendazole and praziquantel are still the most commonly used cysticidal drugs that are able to destroy most of the spinal and intracranial parasites.…”

Section: Discussionmentioning

confidence: 99%

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Herniated Lumbar Disc Combined with Spinal Intradural Extramedullary Cysticercosis

Choi

Hwang

Choi

et al. 2010

J Korean Neurosurg Soc

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J Korean Neurosurg Soc 48 : [547][548][549][550] 2010 Spinal cysticercosis is a very uncommon manifestation of neurocysticercosis which is caused by the larvae of Taenia solium. However, it can develop as a primary infection through blood stream or direct larval migration. It can result in high recurrence and severe neurologic morbidity if not treated appropriately. We report the case of a 43-year-old woman who presented with severe lower back pain and left leg radiating pain in recent 2 weeks. Magnetic resonance image (MRI) of lumbar spine demonstrated extruded disc at the L5-S1 level combined with intradural extramedullary cystic lesion. We performed the open lumbar microdiscectomy (OLM) at L5-S1 on the left with total excision of cystic mass. After surgery, the patient showed an improvement of previous symptoms. Diagnosis was confirmed by histopathological examination as intradural extramedullary cysticercosis. We discuss clinical features, diagnostic screening, and treatment options of spinal cysticercosis.

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Neurogenic Bladder in Infections of the Nervous System

Misra

Kalita

Pediatric Neurogenic Bladder Dysfunction

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Multilevel Intramedullary Spinal Neurocysticercosis With Eosinophilic Meningitis

Abstract: Intramedullary neurocysticercosis should be considered as a potentially treatable cause of multilevel spinal lesions with subacute meningitis.

Cited by 41 publications

References 13 publications

Intramedullary spinal cysticercosis simulating a conus medullaris tumor: case report

Intramedullary spinal cysticercosis simulating a conus medullaris tumor: case report

Herniated Lumbar Disc Combined with Spinal Intradural Extramedullary Cysticercosis

Neurogenic Bladder in Infections of the Nervous System

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