Intramedullary Cysticercosis- An Uncommon Entity Even in the Presence of Intracranial Neurocysticercosis

  • Gurpreet Kaur Walia Dept. of Pathology, Armed Forces Medical College, Pune
  • Puneet Baveja Dept. of Pathology, Armed Forces Medical College, Pune
  • Shipra Verma Dept. of Pathology, Armed Forces Medical College, Pune
  • Sanjay Kumar Dept. of Neurosurgery, Command Hospital, Pune
  • Atul Jain Dept. of Neurosurgery, Command Hospital, Pune
  • Rahul Dudhal Dept. of Radiology, Command Hospital, Pune
Keywords: Intramedullary, cysticercosis, histopathology

Abstract

Neurocysticercosis (NCC) is described as the central nervous system involvement by a parasitic infection caused by a nematode, Taenia solium. By far, NCC is the most common parasitic infection of central nervous system in the world. In the developing countries like India, NCC is a leading cause of epilepsy in all age groups. Here, we present a case of a 36-year-old male who was a known case of multiple NCC involving the brain having cognitive dysfunction and presented with difficulty in walking and sudden onset weakness of right lower limb. On contrast enhanced MRI of spine, an intramedullary lesion was seen at D7- D8 level, which was confirmed on histopathological examination of the excised tissue as NCC. During clinical follow-up, the patient has shown significant neurological improvement.

References

Maste PS, Lokanath YK, Mahantshetti SS, Soumya S. Isolated Intramedullary Spinal Cysticercosis : A Case Report with Review of Literature of a Rare Presentation. Asian J Neurosurg 2018;13:154-6.

Qi B, Ge P, Yang H, Bi C, Li Y. Spinal Intramedullary Cysticercosis : A Case Report and Literature Review. Int J Med Sci 2011;8:420-3.

Kim M, Rhim SC, Khang SK. Intramedullary Spinal Cysticercosis : A Case Report and Review of Literature. Korean J Spine 2014;11:81–4.

Qazi Z, Ojha BK, Chandra A, Singh SK, Srivastava C, Patil TB. Isolated Intramedullary Spinal Cord Cysticercosis. J Neurosci Rural Pract 2014;5:S66-8.

Noguera EMS, Sic RP, Solis FE. Intramedullary Spinal Cord Neurocysticercosis Presenting as Brown-Séquard syndrome. BMC Neurol 2015;15:1–4.

Coyle CM, Tanowitz HB. Diagnosis and Treatment of Neurocysticercosis. Interdiscip Perspect Infect Dis 2009;2009:180742.

Muralidharan V, Nair BR, Patel B, Rajshekhar V. Primary Intradural Extramedullary Cervical Spinal Cysticercosis. World Neurosurg [Internet] 2017 Oct;106:[about 6p.]. Available from: http://dx.doi.org/10.1016/j.wneu.2017.07.008

Brutto OHD. Neurocysticercosis : A Review. ScientificWorldJournal 2012;2012:159821.

Alsina GA, Johnson JP, Mc Bride D, Rhoten PRL, Mehringer CM, Stokes JK. Spinal neurocysticercosis. Neurosurg Focus 2002;12:1-7.

Mathuriya SN, Khosla VK, Vasishta RK, Tewari MK, Pathak A, Prabhakar S. Intramedullary Cysticercosis : MRI Diagnosis. Neurol India 2001;49:71-4.

Moskowitz J, Mendelsohn G. Neurocysticercosis. Arch Pathol Lab Med 2010;134:1560–3.

Published
30-11-2020
Section
Case Report