Guedes-Corrêa José Fernando, Macedo Ricardo Caratta, Vaitsman Rafael Pereira, Mattos Jorge Gomes de, Agra Jovita Marques
Serviço de Neurocirurgia, Hospital Municipal Souza Aguiar, Rio de Janeiro, RJ, Brazil.
Arq Neuropsiquiatr. 2006 Mar;64(1):149-52. doi: 10.1590/s0004-282x2006000100033. Epub 2006 Apr 5.
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 intradural-extramedullary or as the vertebral presentation. We report the case of a 53-year-old woman who presented 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, pathophysiological, diagnostic and therapeutic aspects of spinal cord intramedullary cysticercosis are discussed.
囊尾蚴病在许多发展中国家呈地方性流行。虽然它是中枢神经系统最常见的寄生虫病，但脊髓受囊尾蚴侵犯的情况很少见。它可能表现为硬脊膜内髓外、髓内、髓内合并硬脊膜内髓外或表现为椎体病变。我们报告一例53岁女性病例，该患者急性起病，表现为腰痛，无其他症状。磁共振成像（MRI）显示圆锥区域髓内有一个囊肿，经病理检查诊断为囊尾蚴囊肿。她术后拒绝使用抗囊尾蚴药物和类固醇。经过八年随访，患者日常生活活动无困难，每年的脊髓MRI检查均未显示疾病残留迹象。本文讨论了脊髓髓内囊尾蚴病的临床、病理生理、诊断和治疗方面。
