Department of Neurosurgery, Ansan Hospital, Korea University College of Medicine, 123 Jeokgeum-ro, Danwon-gu, Ansan, Gyeonggi-do, 15355, Republic of Korea.
Department of Pathology, Ansan Hospital, Korea University College of Medicine, Ansan, Republic of Korea.
BMC Infect Dis. 2022 Jan 4;22(1):9. doi: 10.1186/s12879-021-07013-7.
Intramedullary parasitic infection is extremely uncommon, and clinical presentation of Brown-Sequard syndrome is even rarer.
The authors report a case involving a 57-year-old woman with Brown-Sequard syndrome, in whom magnetic resonance imaging and clinical and epidemiological features were similar to those of acute transverse myelitis. Myelotomy suggested inflammation caused by latent parasite eggs in the spinal cord. Antiparasitic and steroid therapies were administered postoperatively. To the author's knowledge, this is the first report to describe a surgical experience for Taenia solium eggs in the spinal cord.
Intramedullary parasitic infection is a diagnostic challenge that requires careful discrimination from other diseases. If parasite infection is suspected in a progressively deteriorating patient, myelotomy should be considered for rapid and accurate treatment.
髓内寄生感染极为罕见，Brown-Sequard 综合征的临床表现更为罕见。
作者报告了一例 57 岁女性 Brown-Sequard 综合征病例，其磁共振成像和临床及流行病学特征与急性横贯性脊髓炎相似。脊髓切开术提示脊髓中潜伏的寄生虫卵引起的炎症。术后给予抗寄生虫和类固醇治疗。据作者所知，这是首例描述脊髓猪带绦虫卵手术治疗经验的报告。
髓内寄生虫感染是一个诊断难题，需要与其他疾病仔细鉴别。如果怀疑患者病情逐渐恶化与寄生虫感染有关，应考虑进行脊髓切开术以快速准确治疗。
