Surgical Resection of Isolated Intramedullary Neurocysticercosis
| Autor: | Kristel Back Merida, Guilherme José Agnoletto, Leonardo Gilmone Ruschel, Guilherme Augusto de Souza Machado, Ricardo Ramina, Felipe Andrés Constanzo Navarrete |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Dysesthesia medicine.diagnostic_test business.industry Central nervous system Neurocysticercosis Magnetic resonance imaging Cysticercosis medicine.disease law.invention Intramedullary rod medicine.drug_formulation_ingredient Allodynia medicine.anatomical_structure law Taenia solium medicine Radiology medicine.symptom business |
| Zdroj: | JBNC - JORNAL BRASILEIRO DE NEUROCIRURGIA. 26:223-226 |
| ISSN: | 2446-6786 |
| DOI: | 10.22290/jbnc.v26i3.1343 |
| Popis: | Introduction: Neurocysticercosis is a parasitic disease caused by the cysticerci of Taenia solium. Central nervous system involvement is endemic in underdeveloped countries and intracranial involvement is the most common presentation. Isolated spinal cord involvement is quite rare and definitive diagnosis in most cases is obtained by anatomopathological evaluation. Case Report: 58 year-old female, from Nicaragua, with a 3-year history of dysesthesia and allodynia on right T5 dermatome, with thoracic spine magnetic resonance imaging (MRI) revealing an intramedullary cystic lesion at the level of T4 and T5 vertebrae with perilesional edema. MRI of the rest of the central nervous system was unremarkable. After initial empirical treatment with intravenous methylprednisolone without clinical or radiological improvement, surgical exploration was proposed, confirming the diagnosis of neurocysticercosis. Conclusion: Diagnosing spinal cysticercosis represents a challenge and should to be considered in patients with intramedullary cystic lesions in endemic areas. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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