Spinal neurocysticercosis diagnosed by lumbar puncture

Neurocysticercosis is a frequent disease, its main location is in the brain parenchyma; however, less than 5% of cases are of spinal location where they produce pseudotumoral or obstructive clinical manifestations. We present the case of a patient admitted due to chronic headache with signs of endro...

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Detalles Bibliográficos
Autores: Huamaní, Charles, Galindo, Diego, Aldave, Raquel
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:Perú
Institución:Universidad Nacional Mayor de San Marcos
Repositorio:Revistas - Universidad Nacional Mayor de San Marcos
Idioma:español
OAI Identifier:oai:revistasinvestigacion.unmsm.edu.pe:article/15638
Acceso en línea:https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/15638
Access Level:acceso abierto
Palabra clave:Neurocysticercosis
Spinal Puncture
Intracranial Hypertension
Neurocisticercosis
Punción Lumbar
Hipertensión Intracraneal
Descripción
Sumario:Neurocysticercosis is a frequent disease, its main location is in the brain parenchyma; however, less than 5% of cases are of spinal location where they produce pseudotumoral or obstructive clinical manifestations. We present the case of a patient admitted due to chronic headache with signs of endrocranial hypertension, without clinical symptoms, and in whom a cysticercotic membrane and cerebrospinal fluid with high glucose consumption (3mg/dL) was obtained during the lumbar puncture study. The finding of a cysticercus of intradural-extramedullary location, during a lumbar puncture is a very rare finding, only described in patients with evident clinical signs. We recommend suspecting it when there is no clinical evidence of spinal cord involvement but there is a suggestion of cerebral cysticercosis and altered cerebrospinal fluid, expanding the study with neuroimaging.