Minimally manipulative extraction of polycystic cervical neurocysticercosis
Intradural, extramedullary cervical spinal involvement is an uncommon manifestation of neurocysticercosis.
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.
When examining patients with clinical signs of a spinal mass lesion, the differential diagnosis should include neurocysticercosis of the spine.
KeywordsNeurocysticercosis Racemose Cervical Spine Polycystic Intradural Extramedullary
Supplementary material 1 Large cystic lesions spontaneously expressing themselves through the dural defect and extracted with forceps (WMV 36127 kb)