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Year : 2023  |  Volume : 6  |  Issue : 1  |  Page : 96-100

Isolated spinal intramedullary neurocysticercosis: Case report and review of literature

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
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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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