Herniated Lumbar Disc Combined with Spinal Intradural Extramedullary Cysticercosis
Overview
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Spinal cysticercosis is a very uncommon manifestation of neurocysticercosis which is caused by the larvae of Taenia solium. However, it can develop as a primary infection through blood stream or direct larval migration. It can result in high recurrence and severe neurologic morbidity if not treated appropriately. We report the case of a 43-year-old woman who presented with severe lower back pain and left leg radiating pain in recent 2 weeks. Magnetic resonance image (MRI) of lumbar spine demonstrated extruded disc at the L5-S1 level combined with intradural extramedullary cystic lesion. We performed the open lumbar microdiscectomy (OLM) at L5-S1 on the left with total excision of cystic mass. After surgery, the patient showed an improvement of previous symptoms. Diagnosis was confirmed by histopathological examination as intradural extramedullary cysticercosis. We discuss clinical features, diagnostic screening, and treatment options of spinal cysticercosis.
Garg R, Rizvi I, Nigam H, Pandey S, Uniyal R Future Microbiol. 2024; 20(1):45-56.
PMID: 39545648 PMC: 11730807. DOI: 10.1080/17460913.2024.2428526.
Spinal cysticercosis: a rare cause of myelopathy.
Yang C, Liu T, Wu J, Xie J, Yu T, Jia W BMC Neurol. 2022; 22(1):63.
PMID: 35193508 PMC: 8862344. DOI: 10.1186/s12883-022-02589-2.
Isolated Intramedullary Lumbar Spine Neurocysticercosis: A Rare Occurrence and Review of Literature.
Dhar A, Dua S, Singh H Surg J (N Y). 2021; 7(4):e327-e336.
PMID: 34926816 PMC: 8674092. DOI: 10.1055/s-0041-1739118.
Isolated lumbar intradural extra medullary spinal cysticercosis simulating tarlov cyst.
Bansal S, Suri A, Sharma M, Kakkar A Asian J Neurosurg. 2017; 12(2):279-282.
PMID: 28484552 PMC: 5409388. DOI: 10.4103/1793-5482.150225.
Isolated cysticercosis of the cauda equina.
Iacoangeli M, Moriconi E, Gladi M, Scerrati M J Neurosci Rural Pract. 2013; 4(Suppl 1):S117-9.
PMID: 24174777 PMC: 3808039. DOI: 10.4103/0976-3147.116440.