Cysticercosis of conus medullaris: A case report and literature review

“Neurocysticercosis” - involvement of the central nervous system (CNS) by taenia solium, is one of the most common parasitic diseases of the CNS. However, spinal involvement by neurocysticercosis is uncommon. Spinal intramedullary cysticercosis involving the conus medullaris is an uncommon clinical...

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Main Authors: Saurabh K. Verma, Vijay Kumar Gupta, M. Narayan Swamy, Harish C. Pathak
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2014-01-01
Series:Indian Journal of Neurosurgery
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.132010
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author Saurabh K. Verma
Vijay Kumar Gupta
M. Narayan Swamy
Harish C. Pathak
author_facet Saurabh K. Verma
Vijay Kumar Gupta
M. Narayan Swamy
Harish C. Pathak
author_sort Saurabh K. Verma
collection DOAJ
description “Neurocysticercosis” - involvement of the central nervous system (CNS) by taenia solium, is one of the most common parasitic diseases of the CNS. However, spinal involvement by neurocysticercosis is uncommon. Spinal intramedullary cysticercosis involving the conus medullaris is an uncommon clinical condition, which may mimic an intramedullary tumor and can lead to irreversible neurological deficits if untreated. Here, we report a 31-year-old male patient with cysticercosis in the conus medullaris of the spinal cord. Magnetic resonance imaging revealed a well-defined round intramedullary lesion at D12-L1 vertebral levels, which was homogeneously hypointense on T1WI and hyperintense on T2WI with peripheral edema. Since the patient had progressive neurological deficits, surgery was performed to decompress the spinal cord. Histopathology examination of the removed lesion proved it to be cysticercosis. In this report, we also discuss the principles of diagnosis and treatment of intramedullary cysticercosis in combination with literature review.
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series Indian Journal of Neurosurgery
spelling doaj-art-1097201cfeb14c9d8875edfe7d3a14f52025-08-20T03:55:44ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Neurosurgery2277-954X2277-91672014-01-01030105405610.4103/2277-9167.132010Cysticercosis of conus medullaris: A case report and literature reviewSaurabh K. VermaVijay Kumar GuptaM. Narayan Swamy0Harish C. PathakCommand Hospital“Neurocysticercosis” - involvement of the central nervous system (CNS) by taenia solium, is one of the most common parasitic diseases of the CNS. However, spinal involvement by neurocysticercosis is uncommon. Spinal intramedullary cysticercosis involving the conus medullaris is an uncommon clinical condition, which may mimic an intramedullary tumor and can lead to irreversible neurological deficits if untreated. Here, we report a 31-year-old male patient with cysticercosis in the conus medullaris of the spinal cord. Magnetic resonance imaging revealed a well-defined round intramedullary lesion at D12-L1 vertebral levels, which was homogeneously hypointense on T1WI and hyperintense on T2WI with peripheral edema. Since the patient had progressive neurological deficits, surgery was performed to decompress the spinal cord. Histopathology examination of the removed lesion proved it to be cysticercosis. In this report, we also discuss the principles of diagnosis and treatment of intramedullary cysticercosis in combination with literature review.http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.132010cysticercosisintramedullaryspinal cord
spellingShingle Saurabh K. Verma
Vijay Kumar Gupta
M. Narayan Swamy
Harish C. Pathak
Cysticercosis of conus medullaris: A case report and literature review
Indian Journal of Neurosurgery
cysticercosis
intramedullary
spinal cord
title Cysticercosis of conus medullaris: A case report and literature review
title_full Cysticercosis of conus medullaris: A case report and literature review
title_fullStr Cysticercosis of conus medullaris: A case report and literature review
title_full_unstemmed Cysticercosis of conus medullaris: A case report and literature review
title_short Cysticercosis of conus medullaris: A case report and literature review
title_sort cysticercosis of conus medullaris a case report and literature review
topic cysticercosis
intramedullary
spinal cord
url http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.132010
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AT vijaykumargupta cysticercosisofconusmedullarisacasereportandliteraturereview
AT mnarayanswamy cysticercosisofconusmedullarisacasereportandliteraturereview
AT harishcpathak cysticercosisofconusmedullarisacasereportandliteraturereview