Pal Anirban, Biswas Chaitali, Ghosh Tirtha R, Deb Pulak
Department of Anaesthesiology, Calcutta National Medical College, Kolkata, West Bengal, India.
Department of Neurosurgery, Calcutta National Medical College, Kolkata, West Bengal, India.
Asian J Neurosurg. 2017 Apr-Jun;12(2):250-252. doi: 10.4103/1793-5482.144176.
Neurocysticercosis (NCC) is a common parasitic infection of the central nervous system but isolated primary spinal NCC is of very rare occurrence. The authors report a case of 44-year-old male, a postoperative case of multiple spinal NCC lesion excision 2 years ago, who presented with cauda equina syndrome and magnetic resonance imaging revealed a lesion mimicking an arachnoid cyst in the D1-9 region of the spinal cord. On intraoperative surgical exposure multiple cysts were found and excised. The suspicion of recurrence of NCC was confirmed by histopathology. Postoperatively there was significant improvement in neurological symptoms of the patient. Recurrence of primary spinal NCC should be considered in differential diagnosis of an arachnoid cyst if there is a definitive past history.
神经囊尾蚴病（NCC）是一种常见的中枢神经系统寄生虫感染，但孤立的原发性脊髓NCC非常罕见。作者报告了一例44岁男性病例，该患者两年前因多发性脊髓NCC病变切除术后出现马尾神经综合征，磁共振成像显示脊髓D1 - 9区域有一个类似蛛网膜囊肿的病变。术中手术暴露时发现并切除了多个囊肿。组织病理学证实了NCC复发的怀疑。术后患者的神经症状有明显改善。如果有明确的既往病史，在蛛网膜囊肿的鉴别诊断中应考虑原发性脊髓NCC复发。
