Solitary thoracic vertebral body cysticercosis presenting with progressive compressive myelopathy

Case report

Restricted access

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:

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.



  • View in gallery

    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.

  • View in gallery

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

  • View in gallery

    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).

  • View in gallery

    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.



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


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


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


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


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


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


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


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




All Time Past Year Past 30 Days
Abstract Views 40 40 12
Full Text Views 46 46 8
PDF Downloads 156 156 30
EPUB Downloads 0 0 0


Google Scholar