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Journal of Korean Neurosurgical Society 2010;48(6): 547-550.
doi: https://doi.org/10.3340/jkns.2010.48.6.547
Herniated Lumbar Disc Combined with Spinal Intradural Extramedullary Cysticercosis.
Kyeong Bo Choi, Byeong Wook Hwang, Won Gyu Choi, Sang Ho Lee
1Department of Neurosurgery, Busan Wooridul Spine Hospital, Busan, Korea. busan@wooridul.co.kr
2Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea.
Spinal cysticercosis is a very uncommon manifestation of neurocysticercosis which is caused by the larvae of Taenia solium. However, it can develop as a primary infection through blood stream or direct larval migration. It can result in high recurrence and severe neurologic morbidity if not treated appropriately. We report the case of a 43-year-old woman who presented with severe lower back pain and left leg radiating pain in recent 2 weeks. Magnetic resonance image (MRI) of lumbar spine demonstrated extruded disc at the L5-S1 level combined with intradural extramedullary cystic lesion. We performed the open lumbar microdiscectomy (OLM) at L5-S1 on the left with total excision of cystic mass. After surgery, the patient showed an improvement of previous symptoms. Diagnosis was confirmed by histopathological examination as intradural extramedullary cysticercosis. We discuss clinical features, diagnostic screening, and treatment options of spinal cysticercosis.
Key Words: Cysticercosis; Neurocysticercosis; Spinal cysticercosis; Intradural cysticercosis; Taenia solium
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