Department of Orthopaedics & Trauma, North Eastern Indira Gandhi Regional Institute of Health & Medical Sciences, Shillong -793018, India.
Asian Pac J Trop Med. 2012 Jul;5(7):582-6. doi: 10.1016/S1995-7645(12)60103-5.
Disseminated cysticercosis is an uncommon presentation of a common disease. Asymptomatic disseminated cysticercosis is rarely reported in literature. Here, we are reporting a case of asymptomatic disseminated cysticercosis incidentally diagnosed in a patient of low backache. Magnetic resonance imaging of lumbosacral spine and neuroimaging done subsequently during the course of evaluation revealed diffuse cysticercosis involving abdominal, paraspinal, pelvic and gluteal muscles along with neurocysticercosis. Such a disseminated cysticercosis was diagnosed incidentally in this patient of low backache with right sciatica and radiculopathy at L5-S1 prolapsed intervertebral disc and was subsequently managed by L5-S1 interlaminar fenestration and discectomy.
播散性囊虫病是一种常见疾病的罕见表现。无症状播散性囊虫病在文献中很少报道。在这里，我们报告了一例腰骶部背痛患者偶然诊断出的无症状播散性囊虫病病例。腰骶部脊柱的磁共振成像和随后在评估过程中进行的神经影像学检查显示，弥漫性囊虫病累及腹部、脊柱旁、骨盆和臀肌，同时伴有神经囊虫病。在这位腰骶部背痛、右侧坐骨神经痛和 L5-S1 椎间盘突出神经根病的患者中，偶然诊断出这种播散性囊虫病，随后通过 L5-S1 板间开窗和椎间盘切除术进行治疗。
