Spinal neurocysticercosis

Discussion:

 

The patient was treated with Albendazole after that. 

Isolated spinal cysticercosis is extremely rare. The majority of spinal SCC is extramedullary intradural form. MRI features of spinal SCC include cystic, diffuse arachnoiditis, or a mixture of both. This case demonstrates findings of diffuse arachnoiditis form of spinal cysticercosis. 

 Diffuse arachnoiditis form is rare and probably from inflammatory reaction due to the rupture of the cysticercosis cyst into subarachnoid space. Lesions are diffuse in the entire lumbar spine like this case, with or without multiple small cysts, show heterogeneous enhancement after contrast. The imaging is atypical but with some cases were reported, they almost look similar to each other. 

 

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