Ranjan Rahul, Chand Suresh, Agnihotri Akhil
Department of Orthopaedics, Lady Hardinge Medical College, New Delhi, India.
Department of Paediatrics, Lady Hardinge Medical College, New Delhi, India.
J Pediatr Neurosci. 2017 Jan-Mar;12(1):99-101. doi: 10.4103/jpn.JPN_162_16.
Neurocysticercosis is commonly seen intracranially and its incidence in the spinal cord is very low. Among spine dorsal region is more common due to more blood flow in this region and it is usually associated with lesion at other sites. The intramedullary location is rarer than extramedullary. Hence, solitary intramedullary cervical spine cysticercosis (ICC) is extremely rare entity. Only a handful numbers of cases are reported in the literature. All reported cases are presented with the neurological deficit as spinal canal diameter is very low and any space occupying lesion is not tolerated. We are presenting a 6-year-old girl having solitary ICC with intact neurology, diagnosed by an appreciation of scolex on magnetic resonance imaging and were treated successfully with albendazole. Follow-up was performed by the estimation of Ag-ELISA which was negative after 2 months of completion of treatment and patient was asymptomatic at 2 years of follow-up.
神经囊尾蚴病常见于颅内,其在脊髓中的发病率很低。在脊柱中,由于该区域血流较多,背部区域更为常见,且通常与其他部位的病变相关。髓内位置比髓外更罕见。因此,孤立性髓内颈椎囊尾蚴病(ICC)是极为罕见的病症。文献中仅报道了少数病例。所有报道的病例均出现神经功能缺损,因为椎管直径非常小,任何占位性病变都无法耐受。我们报告了一名6岁患有孤立性ICC且神经功能完好的女孩,通过磁共振成像上对头节的识别得以诊断,并成功接受了阿苯达唑治疗。通过检测Ag-ELISA进行随访,治疗完成2个月后结果为阴性,随访2年时患者无症状。