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Cysticercosis
Lubdha M. Shah, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Neurocysticercosis (NCC), spinal cysticercosis (SCC)
            • Definitions

              • CNS parasitic infection caused by pork tapeworm
              • 2 forms of NCC: Parenchymal and extraparenchymal
                • SCC: Uncommon form of extraparenchymal NCC (5% of cases of NCC)
                  • Divided in intramedullary, subarachnoid, or extradural in location
                  • Subarachnoid form most common spinal type

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Nonvascular Interventions

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Consider

                                          • Image Interpretation Pearls

                                            Selected References

                                            1. Han SB et al: Lumbar intradural neurocysticercosis: a case report. Korean J Spine. 11(3):205-8, 2014
                                            2. Kim M et al: Intramedullary spinal cysticercosis: a case report and review of literature. Korean J Spine. 11(2):81-4, 2014
                                            3. Qazi Z et al: Isolated intramedullary spinal cord cysticercosis. J Neurosci Rural Pract. 5(Suppl 1):S66-8, 2014
                                            4. Gonçalves FG et al: Chronic myelopathy associated to intramedullary cysticercosis. Spine (Phila Pa 1976). 35(5):E159-62, 2010
                                            5. Jang JW et al: Recurrent primary spinal subarachnoid neurocysticercosis. Spine (Phila Pa 1976). 35(5):E172-5, 2010
                                            6. Izci Y et al: Spinal intramedullary cysticercosis of the conus medullaris. WMJ. 107(1):37-9, 2008
                                            7. Lucato LT et al: The role of conventional MR imaging sequences in the evaluation of neurocysticercosis: impact on characterization of the scolex and lesion burden. AJNR Am J Neuroradiol. 28(8):1501-4, 2007
                                            8. do Amaral LL et al: Neurocysticercosis: evaluation with advanced magnetic resonance techniques and atypical forms. Top Magn Reson Imaging. 16(2):127-44, 2005
                                            9. Gupta RK et al: Role of diffusion weighted imaging in differentiation of intracranial tuberculoma and tuberculous abscess from cysticercus granulomas-a report of more than 100 lesions. Eur J Radiol. 55(3):384-92, 2005
                                            10. Singh P et al: Intramedullary cysticercosis. Neurol India. 52(2):264-5, 2004
                                            11. Alsina GA et al: Spinal neurocysticercosis. Neurosurg Focus. 12(6):e8, 2002
                                            12. Sheehan JP et al: Intramedullary spinal cysticercosis. Case report and review of the literature. Neurosurg Focus. 12(6):e10, 2002
                                            13. Del Brutto OH et al: Proposed diagnostic criteria for neurocysticercosis. Neurology. 57(2): 177-83, 2001
                                            14. Mathuriya SN et al: Intramedullary cysticercosis : MRI diagnosis. Neurol India. 49(1): 71-4, 2001
                                            15. Parmar H et al: MR imaging in intramedullary cysticercosis. Neuroradiology. 43(11): 961-7, 2001
                                            16. Rahalkar MD et al: The many faces of cysticercosis. Clin Radiol. 55(9): 668-74, 2000
                                            17. Zee CS et al: Imaging of neurocysticercosis. Neuroimaging Clin N Am. 10(2): 391-407, 2000
                                            18. Garg RK: Neurocysticercosis. Postgrad Med J. 74(872): 321-6, 1998
                                            19. Sawhney IM et al: Uncommon presentations of neurocysticercosis. J Neurol Sci. 154(1): 94-100, 1998
                                            20. Leite CC et al: MR imaging of intramedullary and intradural-extramedullary spinal cysticercosis. AJR Am J Roentgenol. 169(6): 1713-7, 1997
                                            21. Mohanty A et al: Spinal intramedullary cysticercosis. Neurosurgery. 40(1): 82-7, 1997
                                            22. Corral I et al: Intramedullary cysticercosis cured with drug treatment. A case report. Spine. 21(19): 2284-7, 1996
                                            23. Creasy JL et al: Magnetic resonance imaging of neurocysticercosis. Top Magn Reson Imaging. 6(1): 59-68, 1994
                                            24. Isidro-Llorens A et al: Spinal cysticercosis. Case report and review. Paraplegia. 31(2): 128-30, 1993
                                            25. Zee CS et al: CT myelography in spinal cysticercosis. J Comput Assist Tomogr. 10(2): 195-8, 1986
                                            26. Akiguchi I et al: Intramedullary spinal cysticercosis. Neurology. 29(11): 1531-4, 1979
                                            27. Firemark HM: Spinal cysticercosis. Arch Neurol. 35(4): 250-1, 1978
                                            28. Kurrein F et al: Cysticercosis of the spine. Ann Trop Med Parasitol. 71(2): 213-7, 1977
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Abbreviations

                                                        • Neurocysticercosis (NCC), spinal cysticercosis (SCC)
                                                      • Definitions

                                                        • CNS parasitic infection caused by pork tapeworm
                                                        • 2 forms of NCC: Parenchymal and extraparenchymal
                                                          • SCC: Uncommon form of extraparenchymal NCC (5% of cases of NCC)
                                                            • Divided in intramedullary, subarachnoid, or extradural in location
                                                            • Subarachnoid form most common spinal type

                                                      IMAGING

                                                      • General Features

                                                        • Radiographic Findings

                                                          • CT Findings

                                                            • MR Findings

                                                              • Nonvascular Interventions

                                                                • Imaging Recommendations

                                                                  DIFFERENTIAL DIAGNOSIS

                                                                    PATHOLOGY

                                                                    • General Features

                                                                      • Gross Pathologic & Surgical Features

                                                                        • Microscopic Features

                                                                          CLINICAL ISSUES

                                                                          • Presentation

                                                                            • Demographics

                                                                              • Natural History & Prognosis

                                                                                • Treatment

                                                                                  DIAGNOSTIC CHECKLIST

                                                                                  • Consider

                                                                                    • Image Interpretation Pearls

                                                                                      Selected References

                                                                                      1. Han SB et al: Lumbar intradural neurocysticercosis: a case report. Korean J Spine. 11(3):205-8, 2014
                                                                                      2. Kim M et al: Intramedullary spinal cysticercosis: a case report and review of literature. Korean J Spine. 11(2):81-4, 2014
                                                                                      3. Qazi Z et al: Isolated intramedullary spinal cord cysticercosis. J Neurosci Rural Pract. 5(Suppl 1):S66-8, 2014
                                                                                      4. Gonçalves FG et al: Chronic myelopathy associated to intramedullary cysticercosis. Spine (Phila Pa 1976). 35(5):E159-62, 2010
                                                                                      5. Jang JW et al: Recurrent primary spinal subarachnoid neurocysticercosis. Spine (Phila Pa 1976). 35(5):E172-5, 2010
                                                                                      6. Izci Y et al: Spinal intramedullary cysticercosis of the conus medullaris. WMJ. 107(1):37-9, 2008
                                                                                      7. Lucato LT et al: The role of conventional MR imaging sequences in the evaluation of neurocysticercosis: impact on characterization of the scolex and lesion burden. AJNR Am J Neuroradiol. 28(8):1501-4, 2007
                                                                                      8. do Amaral LL et al: Neurocysticercosis: evaluation with advanced magnetic resonance techniques and atypical forms. Top Magn Reson Imaging. 16(2):127-44, 2005
                                                                                      9. Gupta RK et al: Role of diffusion weighted imaging in differentiation of intracranial tuberculoma and tuberculous abscess from cysticercus granulomas-a report of more than 100 lesions. Eur J Radiol. 55(3):384-92, 2005
                                                                                      10. Singh P et al: Intramedullary cysticercosis. Neurol India. 52(2):264-5, 2004
                                                                                      11. Alsina GA et al: Spinal neurocysticercosis. Neurosurg Focus. 12(6):e8, 2002
                                                                                      12. Sheehan JP et al: Intramedullary spinal cysticercosis. Case report and review of the literature. Neurosurg Focus. 12(6):e10, 2002
                                                                                      13. Del Brutto OH et al: Proposed diagnostic criteria for neurocysticercosis. Neurology. 57(2): 177-83, 2001
                                                                                      14. Mathuriya SN et al: Intramedullary cysticercosis : MRI diagnosis. Neurol India. 49(1): 71-4, 2001
                                                                                      15. Parmar H et al: MR imaging in intramedullary cysticercosis. Neuroradiology. 43(11): 961-7, 2001
                                                                                      16. Rahalkar MD et al: The many faces of cysticercosis. Clin Radiol. 55(9): 668-74, 2000
                                                                                      17. Zee CS et al: Imaging of neurocysticercosis. Neuroimaging Clin N Am. 10(2): 391-407, 2000
                                                                                      18. Garg RK: Neurocysticercosis. Postgrad Med J. 74(872): 321-6, 1998
                                                                                      19. Sawhney IM et al: Uncommon presentations of neurocysticercosis. J Neurol Sci. 154(1): 94-100, 1998
                                                                                      20. Leite CC et al: MR imaging of intramedullary and intradural-extramedullary spinal cysticercosis. AJR Am J Roentgenol. 169(6): 1713-7, 1997
                                                                                      21. Mohanty A et al: Spinal intramedullary cysticercosis. Neurosurgery. 40(1): 82-7, 1997
                                                                                      22. Corral I et al: Intramedullary cysticercosis cured with drug treatment. A case report. Spine. 21(19): 2284-7, 1996
                                                                                      23. Creasy JL et al: Magnetic resonance imaging of neurocysticercosis. Top Magn Reson Imaging. 6(1): 59-68, 1994
                                                                                      24. Isidro-Llorens A et al: Spinal cysticercosis. Case report and review. Paraplegia. 31(2): 128-30, 1993
                                                                                      25. Zee CS et al: CT myelography in spinal cysticercosis. J Comput Assist Tomogr. 10(2): 195-8, 1986
                                                                                      26. Akiguchi I et al: Intramedullary spinal cysticercosis. Neurology. 29(11): 1531-4, 1979
                                                                                      27. Firemark HM: Spinal cysticercosis. Arch Neurol. 35(4): 250-1, 1978
                                                                                      28. Kurrein F et al: Cysticercosis of the spine. Ann Trop Med Parasitol. 71(2): 213-7, 1977