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...
| Authors: | , , |
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| Format: | article |
| Status: | Published version |
| Publication Date: | 2018 |
| Country: | Perú |
| Institution: | Universidad Nacional Mayor de San Marcos |
| Repository: | Revistas - Universidad Nacional Mayor de San Marcos |
| Language: | Spanish |
| OAI Identifier: | oai:revistasinvestigacion.unmsm.edu.pe:article/15638 |
| Online Access: | https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/15638 |
| Access Level: | Open access |
| Keyword: | Neurocysticercosis Spinal Puncture Intracranial Hypertension Neurocisticercosis Punción Lumbar Hipertensión Intracraneal |
| Summary: | 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. |
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