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BRIEF COMMUNICATION
Year : 2008  |  Volume : 56  |  Issue : 3  |  Page : 249-251

Isolated and silent spinal neurocysticercosis associated with pseudotumor cerebri


1 Department of Neurosurgery, ISPAT General Hospital, Rourkela, Orissa, India
2 Department of Pathology, ISPAT General Hospital, Rourkela, Orissa, India
3 Department of Internal Medicine, ISPAT General Hospital, Rourkela, Orissa, India
4 Department of Ophthalmology, ISPAT General Hospital, Rourkela, Orissa, India

Correspondence Address:
Rabindra N Mohapatra
Qr. No. C/91, Sector - 19, Rourkela - 769 005, Orissa
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.40372

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Incidence of spinal neurocysticercosis (NCC) is rare. Isolated spinal NCC is still rarer. We present here a case report where a young lady presented with all the clinical features of pseudotumor cerebri (PTC), where medical treatment for PTC failed and the presence of cysticercous in spinal canal was detected only on the operation table, while doing a lumbo-peritoneal shunt (LP shunt) to save her vision. Diagnosis could be confirmed only after the histopathology report was received. She did not have any direct evidence of spinal involvement, thereby eluding correct diagnosis. In English literature, we could not find any report of isolated and silent spinal NCC associated with PTC. In addition, we could not find any report of recovery of cysticercous larva through the Touhey's needle injury, although this was an incidental finding. In endemic areas, isolated spinal NCC should be suspected in patients presenting with PTC.


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