Mohanty A, Das S, Kolluri V R, Das B S
Department of Neurosurgery, National Institute of Mental Helath & Neuro Sciences, Bangalore, India.
Spinal Cord. 1998 Apr;36(4):285-7. doi: 10.1038/sj.sc.3100524.
An extremely rare case of extradural spinal cysticercosis in an adult male is presented. The patient had evidence of extradural granulation tissue with associated destruction of C4 and C5 pedicles and laminae, causing tetraparesis. Histopathological examination revealed evidence of a degenerated cysticercal cyst with host tissue reaction. The patient made a gradual and marked improvement after decompression. Though rare, cysticercosis as a possible etiology of extradural spinal compression may be considered in endemic area.
本文报道了一例极其罕见的成年男性硬膜外脊髓囊尾蚴病病例。患者有硬膜外肉芽组织的证据,伴有C4和C5椎弓根及椎板破坏,导致四肢轻瘫。组织病理学检查显示有退化的囊尾蚴囊肿及宿主组织反应的证据。减压后患者逐渐明显好转。尽管罕见,但在流行地区,囊尾蚴病作为硬膜外脊髓压迫的一种可能病因应予以考虑。