Solitary intramedullary cervical cysticercosis without neurological deficit: A rare case report

Abstract

Neurocysticercosis is commonly seen intracranially and its incidence in the spinal cord is very low. Among spine dorsal region is more common due to more blood flow in this region and it is usually associated with lesion at other sites. The intramedullary location is rarer than extramedullary. Hence, solitary intramedullary cervical spine cysticercosis (ICC) is extremely rare entity. Only a handful numbers of cases are reported in the literature. All reported cases are presented with the neurological deficit as spinal canal diameter is very low and any space occupying lesion is not tolerated. We are presenting a 6-year-old girl having solitary ICC with intact neurology, diagnosed by an appreciation of scolex on magnetic resonance imaging and were treated successfully with albendazole. Follow-up was performed by the estimation of Ag-ELISA which was negative after 2 months of completion of treatment and patient was asymptomatic at 2 years of follow-up.

Isolated Intramedullary Lumbar Spine Neurocysticercosis: A Rare Occurrence and Review of Literature

“…In only 12 of the cases of IM-NCC, antibodies were detected by various techniques, including enzyme-linked immunosorbent assay (ELISA), Western blot, and enzyme-linked immunoelectrotransfer blot (EITB). 24,25 In the review, it was concluded that surgery was the main modality of treatment (n ¼ 29), while 16 patients were managed medically with anticysticercal agents (albendazole, praziquantel). One of the patients refused any treatment.…”

Intramedullary cysticercosis without neurological deficit

“…presented an interesting case with “Intramedullary Cysticercosis (ICC) without Neurological Deficit.”[ 1 ] Ranjan et al . mentioned that “to best of our knowledge, this is the first case of ICC without neurological involvement.”[ 1 ] We agree that the case is rare, but we do not agree with this conclusion, and the problem might be due to a good literature review. We would like to take the note that there are already some publications on ICC without neurological complication.…”