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Minimally manipulative extraction of polycystic cervical neurocysticercosis

  • Case report
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Abstract

Clinical history

Intradural, extramedullary cervical spinal involvement is an uncommon manifestation of neurocysticercosis.

Case report

A case of a middle-aged man with neurocysticercosis in the intradural extramedullary cervical spine and brain who originally presented with bilateral paresthesias of his extremities, with a progressively unsteady gait. Magnetic resonance imaging revealed cystic enhancing lesions in the brain and cervical region of the spine, with the largest cyst extending from the posterior fossa through C2, causing spinal cord compression. The patient underwent surgical resection of the intradural extramedullary cervical spinal lesions, and he has continued to improve clinically, with no recurrence of cystic lesions.

Conclusion

When examining patients with clinical signs of a spinal mass lesion, the differential diagnosis should include neurocysticercosis of the spine.

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Author information

Authors and Affiliations

  1. Department of Neurological Surgery, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, PO Box 1709, Newark, NJ, 07101-1709, USA

    David R. Hansberry & Ira M. Goldstein

  2. Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA

    Nitin Agarwal & Leroy R. Sharer

  3. Department of Pathology and Laboratory Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA

    David R. Hansberry

Authors
  1. David R. Hansberry
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  2. Nitin Agarwal
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  3. Leroy R. Sharer
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  4. Ira M. Goldstein
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Corresponding author

Correspondence to Ira M. Goldstein.

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Conflict of interest statement

The authors have no personal or institutional interest with regards to the authorship and/or publication of this manuscript.

Funding statement

This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

Disclosure

The authors have no personal financial or institutional interest in any of the drugs, material, or devices described in this article.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

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Supplementary material 1 Large cystic lesions spontaneously expressing themselves through the dural defect and extracted with forceps (WMV 36127 kb)

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Hansberry, D.R., Agarwal, N., Sharer, L.R. et al. Minimally manipulative extraction of polycystic cervical neurocysticercosis. Eur Spine J 26 (Suppl 1), 63–68 (2017). https://doi.org/10.1007/s00586-016-4763-2

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  • DOI: https://doi.org/10.1007/s00586-016-4763-2

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