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KMID : 1141120150010010020
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The Nerve
2015 Volume.1 No. 1 p.20 ~ p.25
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Intradural Spinal Cysticercosis: Case Series
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Lee Han-Joo
Kang Moo-Sung
Kim Kyung-Hyun
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Abstract
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Objective: Literature concerning treatment with focus on case presentation, mostly, consists of case reports. In this report, we will present the characteristics of the disease and results of seven cases of spinal Neurocysticercosis (NCC) patients.
Methods: We retrospectively searched data for eligible patients between 1998 and 2014. Total of seven patients were enrolled, and it referred from pathologic result only. Medical records and images were reviewed for preoperative and postoperative clinical, radiological, and pathological results. All patients were treated with surgical treatment with antibiotics and followed up for 43.1±10.23 months (range, 13-98 months).
Results: Among seven cases, the pathologic lesion was located in intradural-extramedullary (IDEM) portion in six cases, one case was found in intramedullary (IM) portion. Only 28% (2/7) showed brain involvement with spinal cysticercosis. Preoperative symptoms consisted of motor deficit were found in 57% (4/7), sensory change in 43% (3/7), gait ataxia in 43% (3/7), neurogenic bladder dysfunction in 29% (2/7). With regard to pain syndromes, all patients presented pain, including leg pain in 71% (5/7), and back pain in 43% (3/7). At final follow up, neurologic status after treatment showed complete recovery for 43% (3/7), improvement for 43% (3/7), and unchanged status for 14% (1/7).
Conclusion: Surgical removal of pathogen showed clinically successful results, therefore early operative treatment should be considered in case of neurologic deficit even it is intradural lesion. Twenty eight percent among the patients with spinal cysticercosis showed concomitant brain lesion, thus, brain exploration should be needed at the time of diagnosis.
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KEYWORD
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Neurocysticercosis, Spinal cysticercosis
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