Agale Shubhangi V, Bhavsar Shweta, Choudhury Barnik, Manohar Vidhya
Department of Pathology, Grant Medical College, Mumbai, Maharashtra, India.
Asian J Neurosurg. 2012 Apr;7(2):90-2. doi: 10.4103/1793-5482.98655.
We report a case of intradural, intramedullary, spinal cord neurocysticercosis at dorsal 10-11 (D10-11) level in a mentally retarded male. A 38-year-old, mentally retarded male presented with weakness and stiffness in both the lower limbs and waist since one year. Magnetic resonance imaging revealed a D10-D11 intradural space occupying lesion with cord compression. Intraoperatively, the tumor was grayish white, soft, cystic, and intramedullary with a well-defined plane with surrounding cord tissue. Gross examination revealed a cystic lesion of 1.5×1×0.8 cm, with a whitish nodule of 0.3 cm in diameter. The cyst wall was thin, shiny, and translucent. Microscopic examination revealed cysticercous cyst. Spinal neurocysticercosis should be considered in differential diagnosis of spinal mass lesion in patients residing in endemic area such as India.
我们报告一例患有脊髓神经囊尾蚴病的智力迟钝男性病例，病变位于胸10 - 11（D10 - 11）水平的硬膜内、髓内。一名38岁智力迟钝男性，自一年前起出现双下肢及腰部无力和僵硬症状。磁共振成像显示在D10 - D11水平有一个硬膜内占位性病变并压迫脊髓。手术中，肿瘤呈灰白色、质软、囊性，位于髓内，与周围脊髓组织界限清晰。大体检查发现一个1.5×1×0.8厘米的囊性病变，伴有一个直径0.3厘米的白色小结节。囊肿壁薄、有光泽且半透明。显微镜检查显示为囊尾蚴囊肿。对于居住在印度等流行地区的患者，在对脊髓肿块病变进行鉴别诊断时应考虑脊髓神经囊尾蚴病。
