title: Isolated and silent spinal neurocysticercosis associated with pseudotumor cerebri.
abstract: 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.
authors.affiliation: Department of Neurosurgery, ISPAT General Hospital, Rourkela, Orissa, India. rkl_neororabi@dataone.in
authors.forename: Rabindra N
authors.initials: RN
authors.lastname: Mohapatra
authors.forename: Jaya K
authors.initials: JK
authors.lastname: Pattanaik
authors.forename: Sanjoya K
authors.initials: SK
authors.lastname: Satpathy
authors.forename: Sonia
authors.initials: S
authors.lastname: Joshi
mesh_terms: D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000981:Antiprotozoal Agents / Q000627:therapeutic use; D002557:Cerebrospinal Fluid Shunts; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008159:Lumbar Vertebrae; D020019:Neurocysticercosis / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D011559:Pseudotumor Cerebri / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D013118:Spinal Cord Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000175:diagnosis; D014794:Visual Fields
chemical_list: D000981:Antiprotozoal Agents; D015766:Albendazole