Minimally manipulative extraction of polycystic cervical neurocysticercosis

  • David R. Hansberry
  • Nitin Agarwal
  • Leroy R. Sharer
  • Ira M. Goldstein
Case report

DOI: 10.1007/s00586-016-4763-2

Cite this article as:
Hansberry, D.R., Agarwal, N., Sharer, L.R. et al. Eur Spine J (2016). doi:10.1007/s00586-016-4763-2

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.

Keywords

Neurocysticercosis Racemose Cervical Spine Polycystic Intradural Extramedullary 

Supplementary material

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

Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • David R. Hansberry
    • 1
    • 3
  • Nitin Agarwal
    • 2
  • Leroy R. Sharer
    • 2
  • Ira M. Goldstein
    • 1
  1. 1.Department of Neurological SurgeryRutgers New Jersey Medical SchoolNewarkUSA
  2. 2.Department of Neurological SurgeryUniversity of Pittsburgh Medical CenterPittsburghUSA
  3. 3.Department of Pathology and Laboratory MedicineRutgers New Jersey Medical SchoolNewarkUSA

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