Solitary thoracic vertebral body cysticercosis presenting with progressive compressive myelopathy

Case report

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Common bony spinal pathologies that could present with progressive spasticity include vertebral body tumors or chronic infections of the spine. Cysticercosis of the spine commonly has an intramedullary occurrence. The authors discuss the presentation and management of a rare case of solitary vertebral cysticercosis that presented with lower-limb spasticity and sphincter involvement.

Article Information

Address correspondence to: Sunil V. Furtado, M.Ch., D.N.B., Department of Neurosurgery, SSSIHMS, EPIP Area, Whitefield, Bangalore-560066, Karnataka, India. email: sunilvf@gmail.com.

Please include this information when citing this paper: published online February 15, 2013; DOI: 10.3171/2013.1.SPINE12675.

© AANS, except where prohibited by US copyright law.

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Figures

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    A: Axial T2-weighted image showing lesion with mixed signal intensity; there is no enhancement on axial image after contrast administration (B). C: Sagittal T2-weighted image showing the extradural lesion compressing the dural sac. D: Sagittal image demonstrating involvement of adjacent disc spaces without contrast enhancement.

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    Upper and Lower: Axial and sagittal CT bone window images showing destruction of T-5 vertebral body.

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    A: Photograph of resected specimen showing grapelike appearance. B and C: Paraffin sections demonstrating cysts interspersed in fibrous tissue, cysticercal scolex with rostellum bearing hooklets (curved arrow), and 3 layers with outermost cuticular layer (straight arrow). H & E, magnification ×100 (B) and ×400 (C).

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    Upper: Postoperative sagittal CT image obtained with bone window showing cage in situ at 6-month follow-up. Lower: Anteroposterior radiograph obtained at 1-year follow-up.

References

1

Del Brutto OH: Neurocysticercosis: a review. ScientificWorld Journal 2012:1598212012

2

Goenka AHKumar A: Whole body MR and disseminated cysticercosis. Indian J Radiol Imaging 21:1571582011

3

Kim SWLee SM: Sacral intradural cysticercosis misdiagnosed as brain tumor metastasis. J Korean Neurosurg Soc 37:67692005

4

Kurrein FVickers AA: Cysticercosis of the spine. Ann Trop Med Parasitol 71:2132171977

5

Mitre ETalaat KRSperling MRNash TE: Methotrexate as a corticosteroid-sparing agent in complicated neurocysticercosis. Clin Infect Dis 44:5495532007

6

Mohanty ADas SKolluri VRDas BS: Spinal extradural cysticercosis: a case report. Spinal Cord 36:2852871998

7

Park SYKong MHKim JHSong KY: Disseminated cysticercosis. J Korean Neurosurg Soc 49:1901932011

8

Vlok GJWells MC: Vertebral cysticercosis. A case report. S Afr Med J 73:7307311988

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