Keny Swapnil, Modi Nihar, Keny Aryan, Gokhale Nikhil, Yadav Saurabh, Azad Kalpana
KB Bhabha Municipal Hospital, Bandra, Mumbai, Maharashtra, India.
Department of Orthopaedics, KB Bhabha Municipal Hospital, Bandra, Mumbai, Maharashtra, India.
J Surg Case Rep. 2023 Oct 21;2023(10):rjad544. doi: 10.1093/jscr/rjad544. eCollection 2023 Oct.
A 4-year-old male child presented to us with a paraspinal pseudo-tumor over the mid-back region with pain being his only symptom. On initial ultrasonography, it was presumed to be a nerve sheath tumor, but on an excision biopsy and histopathology, it proved to be a subcutaneous cysticercosis. Furthermore, an MRI of the brain showed a ring enhancing lesion with vasogenic edema, which confirmed the diagnosis of a neurologically symptomless neurocysticercosis. We treated the patient with albendazole and a short course of dexamethasone. There was complete resolution of the painful subcutaneous swelling, and the patient remained neurologically symptomless at all subsequent follow-ups. Resolution of the brain lesions was seen in the 6-month MRI follow-up. Although rare, orthopedic surgeons should consider the possibility of parasitic infections when dealing with small near-asymptomatic soft tissue paraspinal swellings of uncertain etiology. A thorough investigation in such cases can be lifesaving.
一名4岁男童因中背部区域出现椎旁假肿瘤前来就诊，疼痛是其唯一症状。初次超声检查时，推测为神经鞘瘤，但切除活检及组织病理学检查显示为皮下囊尾蚴病。此外，脑部MRI显示有一个伴有血管源性水肿的环形强化病变，这证实了无症状神经囊尾蚴病的诊断。我们用阿苯达唑和短期地塞米松对该患者进行了治疗。疼痛的皮下肿胀完全消退，在所有后续随访中患者均无神经症状。6个月的MRI随访中可见脑部病变消退。尽管罕见，但骨科医生在处理病因不明的小型近无症状的椎旁软组织肿胀时，应考虑寄生虫感染的可能性。对此类病例进行全面调查可能会挽救生命。
