Minimally manipulative extraction of polycystic cervical neurocysticercosis.
Intradural, extramedullary cervical spinal involvement is an uncommon manifestation of neurocysticercosis.



A case of a middle-aged man with neurocysticercosis in the intradural extramedullary cervical spine and brain who originally presented with bilateral paresthesias of his extremities, with a progressively unsteady gait. Magnetic resonance imaging revealed cystic enhancing lesions in the brain and cervical region of the spine, with the largest cyst extending from the posterior fossa through C2, causing spinal cord compression. The patient underwent surgical resection of the intradural extramedullary cervical spinal lesions, and he has continued to improve clinically, with no recurrence of cystic lesions.



When examining patients with clinical signs of a spinal mass lesion, the differential diagnosis should include neurocysticercosis of the spine.
Department of Neurological Surgery, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, PO Box 1709, Newark, NJ, 07101-1709, USA.|Department of Pathology and Laboratory Medicine, Rutgers New Jersey Medical School, Newark, NJ, USA.
David R
DR
Hansberry
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Nitin
N
Agarwal
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Leroy R
LR
Sharer
Department of Neurological Surgery, Rutgers New Jersey Medical School, 90 Bergen Street, Suite 8100, PO Box 1709, Newark, NJ, 07101-1709, USA. goldstir@njms.rutgers.edu.
Ira M
IM
Goldstein
D002574:Cervical Vertebrae; D020233:Gait Disorders, Neurologic / Q000209:etiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D020019:Neurocysticercosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D010292:Paresthesia / Q000209:etiology; D013117:Spinal Cord Compression / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*
Cervical; Extramedullary; Intradural; Neurocysticercosis; Polycystic; Racemose; Spine