Sacral Intradural Cysticercosis Misdiagnosed as Brain Tumor Metastasis

  • Kim, Seok-Won (Department of Neurosurgery, College of Medicine, Chosun University) ;
  • Lee, Seung-Myung (Department of Neurosurgery, College of Medicine, Chosun University)
  • Published : 2005.01.31

Abstract

Spinal intradural cysticercosis is a rare manifestation of neurocysticercosis that may present as an isolated lesion. We report a case of sacral intradural cysticercosis misdiagnosed as a metastasis through cerebrospinal fluid seeding in a 48-year-old patient who underwent ependymoma surgery 3 months ago. We performed S1-2 laminectomy with the total removal of intradural lesion. The cysticercosis was confirmed histologically. The patient was given albendazole with corticosteroid.

Keywords

References

  1. Akiguchi I, Fujiwara T, Matsuyama H, Muranaka H, Kameyama M : Intramedullary spinal cysticercosis. Neurology 29 : 1531-1534, 1979 https://doi.org/10.1212/WNL.29.11.1531
  2. Corral I, Quereda C, Moteno A, Lopez-Velez R, Martinez-San-Millan J, Guerrero A, et al : Intramedullary cysticercosis cured with drug treatment : a case report. Spine 21 : 2284-2287, 1996 https://doi.org/10.1097/00007632-199610010-00023
  3. De Souza Queiroz L, Filho AP, Callegaro D, De Faria LL : Intramedullary cysticercosis : case report, literature review and comments on pathogenesis. J Neurol Sci 26 : 61-70, 1975 https://doi.org/10.1016/0022-510X(75)90114-8
  4. Jang HD, Park KH, Kim JC : Cervical intramedullary cysticercosis. J Korean Neurosurg Soc 33 : 323-325, 2003
  5. Mohanty A, Venkatrama SK, Das S, Das BS, Rao BR, Vasudev MK : Spinal intramedullary cysticercosis. Neurosurgery 40 : 82-87, 1997 https://doi.org/10.1097/00006123-199701000-00018
  6. Parmar H, Shah J, Patwardhan V, Patankar T, Patkar D, Prasad S, et al : MR imaging in intramedullary cysticercosis. Neuroradiology 43 : 961- 967, 2001 https://doi.org/10.1007/s002340100615
  7. Rosas N, Sotelo J, Nieto D : ELISA in the diagnosis of neurocysticercosis. Trch Neuro 43 : 353-356, 1987
  8. Sotelo J, Guerrero V, Rubio F : Neurocysticercosis : a new classification based on active and inactive forms : A study of 753 cases. Arch Intern Med 145 : 442-445, 1985 https://doi.org/10.1001/archinte.145.3.442