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BMC Research Notes

, 7:2

First Online: 02 January 2014Received: 23 July 2013Accepted: 30 December 2013DOI: 10.1186-1756-0500-7-2

Cite this article as: Kim, SW., Wang, H.S., Ju, C.I. et al. BMC Res Notes 2014 7: 2. doi:10.1186-1756-0500-7-2

Abstract

BackgroundIntraspinal neurocysticercosis is an uncommon manifestation that may present as an isolated lesion. Furthermore, acute hydrocephalus caused by isolated intraspinal neurocysticercosis without concomitant cerebral involvement is extremely rare.

Case presentationA 64-year-old man presented with a history of severe headache, an unsteady gait, and occasional urinary incontinence. Magnetic resonance imaging of the thoraco-lumbar spine revealed multiple, cystic, contrast-enhancing intraspinal lesions. A computed tomographic scan of the brain showed marked ventricular dilatation but no intraparenchymal lesions or intraventricular cysticercal lesions. This case of acute hydrocephalus was found to be caused by isolated intraspinal neurocysticercosis and was treated by ventriculoperitoneal shunt placement and surgical removal of the intraspinal lesions which were histologically confirmed as neurocysticercosis, followed by administration of dexamethasone and albendazole.

ConclusionIsolated spinal neurocysticercosis should be considered in the differential diagnosis of acute hydrocephalus when no explanation is found in the brain, particularly in geographical regions endemic for cysticercosis.

KeywordsSpinal Neurocysticercosis Hydrocephalus AbbreviationsNCCNeurocysticercosis

CTComputed tomographic scan

MRIMagnetic resonance imaging

CSFCerebrospinal fluid.

Electronic supplementary materialThe online version of this article doi:10.1186-1756-0500-7-2 contains supplementary material, which is available to authorized users.

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Autor: Seok-Won Kim - Hui Sun Wang - Chang Il Ju - Dong-Min Kim

Fuente: https://link.springer.com/







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