Kim Moinay, Rhim Seung Chul, Khang Shin-Kwang
Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan College of Medicine, Seoul, Korea.
Department of Pathology, Asan Medical Center, College of Medicine, University of Ulsan College of Medicine, Seoul, Korea.
Korean J Spine. 2014 Jun;11(2):81-4. doi: 10.14245/kjs.2014.11.2.81. Epub 2014 Jun 30.
To report a case of spinal intramedullary cysticercosis in thoracic spine. A 47-year old man living in Korea referred to our hospital with both feet tingling sensation for about a year. Laboratory evaluations, including serologic tests were not helpful. Magnetic resonance imaging revealed a 1.7 cm intramedullary mass at T10-11 level, which believed to be a tumor instead, rather than a cysticercosis preoperatively. Successful operation was done with a histopathological result confirmed it as cysticercosis. Even though the prevalence of intramedullary spinal cysticercosis is extremely rare, and radiologic exams mimic other common tumors like ependymoma or astrocytoma, the disease should be considered as differential diagnosis.
报告一例胸椎脊髓内囊尾蚴病病例。一名居住在韩国的47岁男性因双脚麻木感约一年前来我院就诊。包括血清学检查在内的实验室评估均无帮助。磁共振成像显示T10 - 11水平有一个1.7厘米的脊髓内肿块，术前认为是肿瘤而非囊尾蚴病。手术成功进行，组织病理学结果证实为囊尾蚴病。尽管脊髓内囊尾蚴病的患病率极低，且影像学检查类似其他常见肿瘤如室管膜瘤或星形细胞瘤，但该病仍应作为鉴别诊断考虑。
