Department of Orthopaedic Surgery, Guri Hospital, Hanyang University College of Medicine, Kyunggi-do, Korea.
Spine J. 2011 Apr;11(4):e1-5. doi: 10.1016/j.spinee.2011.02.009.
Spinal neurocysticercosis (NCC) is a very rare clinical entity. Signs and symptoms may include myelopathy, radiculopathy, or cauda equina syndrome, depending on location of the cyst, and it may mimic more common neuropathology. When the patient does not come from an endemic region and serologic tests fail to yield evidence of the presence of parasites, the diagnosis may only become apparent at surgery.
To report a case of NCC of lumbar spine with spinal root symptoms, which had only become apparent at surgery.
Case report.
A 72-year-old man presented with progressive lower-extremity weakness and diminished sensation in his left lower extremity. Laboratory evaluation, including serologic tests, was nonspecific. Magnetic resonance imaging revealed a large eccentric mass lesion at lumbar subarachnoid space.
Diagnosis was confirmed after surgical excision, and cysticercosis was found to be the etiologic factor.
Even when the patient does not come from endemic region and serologic tests fail to yield evidence of the presence of parasites, spinal NCC should be considered in the differential diagnosis with symptoms suggestive of spinal mass lesion.
脊柱神经囊尾蚴病（NCC）是一种非常罕见的临床病症。根据囊肿的位置，其症状可能包括脊髓病、神经根病或马尾综合征，并且可能与更常见的神经病理学相似。当患者不是来自流行地区且血清学检测未能证明寄生虫存在时，诊断可能仅在手术时才变得明显。
报告一例仅在手术时才表现出神经根症状的腰椎 NCC 病例。
病例报告。
一名 72 岁男性出现进行性下肢无力和左下肢感觉减退。实验室评估，包括血清学检测，均无特异性。磁共振成像显示腰骶蛛网膜下腔有一个大的偏心性肿块病变。
手术切除后确诊，囊尾蚴病是病因。
即使患者不是来自流行地区且血清学检测未能证明寄生虫存在，对于有脊髓肿块病变症状的患者，也应考虑脊柱 NCC 作为鉴别诊断。
