Manh Bui Huy, Dat Tran, Hai Vu Trung, He Dong-Van, Ha Duong Dai, Que Nguyen-Van, Duc Nguyen Minh
Neurosurgery Center, Department of Neurosurgery I, Viet Duc Hospital, Hanoi, Viet Nam.
Deparment of Surgery, Hanoi Medical University, Hanoi, Viet Nam.
Radiol Case Rep. 2023 Jul 6;18(9):3269-3273. doi: 10.1016/j.radcr.2023.06.037. eCollection 2023 Sep.
Spinal cysticercosis is a rare and severe cysticercosis complication. The pathology is from the inflammatory reaction and granuloma formation around the eggs, which cause focal neurological deficits. Because of the rarity of this condition, diagnosis may be delayed and confused with other myelopathies such as neoplasms or myelitis. We report a 42-year-old woman with low back pain and paraplegia. Magnetic resonance imaging showed a lesion in the spinal canal at the level of L4/L5 that was toward the diagnosis of myelitis. The patient underwent an open biopsy, and the result was granulomatosis caused by cysticercosis. The patient was then given an anticysticercosis medication and gradually recovered.
脊髓囊尾蚴病是一种罕见且严重的囊尾蚴病并发症。其病理改变源于虫卵周围的炎症反应和肉芽肿形成,可导致局灶性神经功能缺损。由于这种疾病较为罕见,诊断可能会延迟,且易与其他脊髓病如肿瘤或脊髓炎相混淆。我们报告一例42岁女性,有腰痛和截瘫症状。磁共振成像显示L4/L5水平椎管内有一病变,初步诊断为脊髓炎。患者接受了开放性活检,结果为囊尾蚴病所致的肉芽肿病。随后患者接受了抗囊尾蚴病药物治疗并逐渐康复。