J Korean Orthop Assoc.  2018 Aug;53(4):369-373. 10.4055/jkoa.2018.53.4.369.

Intradural Extramedullary Cysticercosis Involving the Thoracolumbar Spinal Canal in a Patient with Cerebral Cysticercosis

Affiliations
  • 1Department of Orthopedic Surgery, Bundang Jesaeng General Hospital, Seongnam, Korea. yslee2808@gmail.com

Abstract

Neurocysticercosis (NCC) by Taenia solium is the most common parasitic infection of the central nervous system involving the cerebrum. However, spinal involvement of NCC is rare. Spinal NCC can cause radiculopathy, myelopathy, cauda equina syndrome, and even paraparesis, depending on its location and size. Spinal NCC may require surgical treatment as a first-line treatment because medical therapy can further aggravate the inflammation due to dead cysts, resulting in clinical deterioration. The current standard therapy for spinal NCC is surgical decompression followed by medical therapy. We experienced a case of widespread thoracolumbar intradural extramedullary cysticercosis involving the spinal canal with cerebral cysticercosis. We report this rare case with literature review.

Keyword

spine; cysticercosis; Taenia solium
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