| CASE REPORT |
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| Year : 2023 | Volume
: 6
| Issue : 1 | Page : 96-100 |
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Isolated spinal intramedullary neurocysticercosis: Case report and review of literature
Selvin P Vijayan1, Christopher Gerber1, Anindya Basu1, Radhika Mhatre2
1 Department of Spine and Neurosurgery, I-NK, Institute of Neurosciences, Kolkata, India
2 Department of Pathology, I-NK, Institute of Neurosciences, Kolkata, India
Correspondence Address:
Selvin P Vijayan
Department of Spine and Neurosurgery, I-NK, Institute of Neurosciences, Kolkata
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/isj.isj_100_21
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Cysticercosis is the most common parasitic disease of the central nervous system but an isolated spinal intramedullary involvement is very rare. We present one such case of a 68-year-old female who had spastic paraplegia with bladder involvement. Magnetic resonance imaging (MRI) revealed D3 intramedullary space-occupying lesion. She was treated with surgical excision and her diagnosis was confirmed to be cysticercosis by histopathological examination. With appropriate post-operative rehabilitation and medical management, she was found to have significant recovery. At final follow-up, she was walking with aid and regained her bladder control. A high index of suspicion is required in endemic zones, like India, when the MRI shows an unusual picture of space-occupying intramedullary lesions. With early diagnosis and initiation of treatment, neurocysticercosis (NCC) shows better prognosis than what was previously known. |
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