Gupta Sanjeev, Singh Pankaj K, Gupta Bharti, Singh Vinay, Azam Amir
GTB Hospital, New Delhi.
Acta Neurol Taiwan. 2009 Sep;18(3):187-92.
In spite of being the most common parasitic infestation of central nervous system (CNS), spinal cysticercosis remains a rare entity.
We report an unusual case of a 45-year-old-male with primary isolated localization of spinal intradural extramedullary cysticercosis at thoracic 3/4 level. The lesion was surgically addressed to decompress the cord in combination with administration of oral albendazole. The weakness improved after treatment but the pain and numbness persisted. The available treatment options, diagnostic strategies and the pathophysiology of this rare condition are discussed here with a brief review of literature.
Clinicians should be aware of the diagnostic possibility of such a rare pathology. Neurosurgeons may face surgical challenges due to dense arachnoiditis associated with the degenerating lesion which may also account for the incomplete resolution of the symptoms even after treatment.
尽管脊髓囊尾蚴病是中枢神经系统最常见的寄生虫感染，但仍然是一种罕见疾病。
我们报告了一例不寻常的病例，一名45岁男性，脊髓硬膜内髓外囊尾蚴病主要孤立定位于胸3/4水平。通过手术处理该病变以减压脊髓，并联合口服阿苯达唑。治疗后肌无力有所改善，但疼痛和麻木仍持续存在。本文讨论了这种罕见疾病的现有治疗选择、诊断策略及病理生理学，并对文献进行了简要回顾。
临床医生应意识到这种罕见病理的诊断可能性。由于与退变病变相关的致密蛛网膜炎，神经外科医生可能面临手术挑战，这也可能是即使治疗后症状仍未完全缓解的原因。
