Case report and review of literature: Isolated intramedullary spinal neurocysticercosis
BackgroundCases of isolated intramedullary spinal neurocysticercosis are extremely rare. Only 25 cases have been reported before 2022. Due to its rarity, the diagnosis of spinal neurocysticercosis may be missed.Case presentationWe describe a 37-year-old female patient who developed back pain and low...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-11-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2022.1030468/full |
| _version_ | 1798022678931570688 |
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| author | Diana Andino John T. Tsiang Nathan C. Pecoraro Ronak Jani Jordan C. Iordanou Jehad Zakaria Ewa Borys David D. Pasquale David D. Pasquale Russ P. Nockels Michael J. Schneck Michael J. Schneck |
| author_facet | Diana Andino John T. Tsiang Nathan C. Pecoraro Ronak Jani Jordan C. Iordanou Jehad Zakaria Ewa Borys David D. Pasquale David D. Pasquale Russ P. Nockels Michael J. Schneck Michael J. Schneck |
| author_sort | Diana Andino |
| collection | DOAJ |
| description | BackgroundCases of isolated intramedullary spinal neurocysticercosis are extremely rare. Only 25 cases have been reported before 2022. Due to its rarity, the diagnosis of spinal neurocysticercosis may be missed.Case presentationWe describe a 37-year-old female patient who developed back pain and lower extremity weakness and was found to have an intramedullary thoracic spine cystic lesion. She was taken to the operating room for resection of the lesion. Pathology revealed a larval cyst wall consistent with neurocysticercosis. The patient was started on albendazole and dexamethasone. Her exam improved post-operatively, and she was able to ambulate with minimal difficulty at the time of follow up.ConclusionThe case provides insights on the diagnosis and treatment of isolated intramedullary spinal neurocysticercosis. Review of the literature suggests that combined surgical and medical intervention results in significant improvement in the patient's neurological exam, and decreases morbidity associated with the disease. We propose a treatment paradigm for this rare manifestation of neurocysticercosis. |
| first_indexed | 2024-04-11T17:34:56Z |
| format | Article |
| id | doaj.art-c99fe919d3c94a788aa3525d40ec5a36 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-11T17:34:56Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-c99fe919d3c94a788aa3525d40ec5a362022-12-22T04:11:50ZengFrontiers Media S.A.Frontiers in Neurology1664-22952022-11-011310.3389/fneur.2022.10304681030468Case report and review of literature: Isolated intramedullary spinal neurocysticercosisDiana Andino0John T. Tsiang1Nathan C. Pecoraro2Ronak Jani3Jordan C. Iordanou4Jehad Zakaria5Ewa Borys6David D. Pasquale7David D. Pasquale8Russ P. Nockels9Michael J. Schneck10Michael J. Schneck11Department of Neurology, Loyola University Medical Center, Maywood, IL, United StatesDepartment of Neurological Surgery, Loyola University Medical Center, Maywood, IL, United StatesDepartment of Neurological Surgery, Loyola University Medical Center, Maywood, IL, United StatesDepartment of Neurological Surgery, Loyola University Medical Center, Maywood, IL, United StatesDepartment of Neurological Surgery, Loyola University Medical Center, Maywood, IL, United StatesDepartment of Neurological Surgery, Riverside Medical Center, Kankakee, IL, United StatesDepartment of Pathology and Laboratory Medicine, Loyola University Medical Center, Maywood, IL, United StatesDepartment of Neurological Surgery, Loyola University Medical Center, Maywood, IL, United StatesDepartment of Radiology, Loyola University Medical Center, Maywood, IL, United StatesDepartment of Neurological Surgery, Loyola University Medical Center, Maywood, IL, United StatesDepartment of Neurology, Loyola University Medical Center, Maywood, IL, United StatesDepartment of Neurological Surgery, Loyola University Medical Center, Maywood, IL, United StatesBackgroundCases of isolated intramedullary spinal neurocysticercosis are extremely rare. Only 25 cases have been reported before 2022. Due to its rarity, the diagnosis of spinal neurocysticercosis may be missed.Case presentationWe describe a 37-year-old female patient who developed back pain and lower extremity weakness and was found to have an intramedullary thoracic spine cystic lesion. She was taken to the operating room for resection of the lesion. Pathology revealed a larval cyst wall consistent with neurocysticercosis. The patient was started on albendazole and dexamethasone. Her exam improved post-operatively, and she was able to ambulate with minimal difficulty at the time of follow up.ConclusionThe case provides insights on the diagnosis and treatment of isolated intramedullary spinal neurocysticercosis. Review of the literature suggests that combined surgical and medical intervention results in significant improvement in the patient's neurological exam, and decreases morbidity associated with the disease. We propose a treatment paradigm for this rare manifestation of neurocysticercosis.https://www.frontiersin.org/articles/10.3389/fneur.2022.1030468/fullneurocysticercosisspinelesioncystcase reportresection |
| spellingShingle | Diana Andino John T. Tsiang Nathan C. Pecoraro Ronak Jani Jordan C. Iordanou Jehad Zakaria Ewa Borys David D. Pasquale David D. Pasquale Russ P. Nockels Michael J. Schneck Michael J. Schneck Case report and review of literature: Isolated intramedullary spinal neurocysticercosis Frontiers in Neurology neurocysticercosis spine lesion cyst case report resection |
| title | Case report and review of literature: Isolated intramedullary spinal neurocysticercosis |
| title_full | Case report and review of literature: Isolated intramedullary spinal neurocysticercosis |
| title_fullStr | Case report and review of literature: Isolated intramedullary spinal neurocysticercosis |
| title_full_unstemmed | Case report and review of literature: Isolated intramedullary spinal neurocysticercosis |
| title_short | Case report and review of literature: Isolated intramedullary spinal neurocysticercosis |
| title_sort | case report and review of literature isolated intramedullary spinal neurocysticercosis |
| topic | neurocysticercosis spine lesion cyst case report resection |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2022.1030468/full |
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