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Table of Contents
LETTER TO THE EDITOR
Year : 2018  |  Volume : 21  |  Issue : 1  |  Page : 87-88
 

Spinal intramedullary cysticercosis: A summary of three cases in Thailand


1 Sanitation 1 Medical Academic Center, Bangkok, Thailand
2 Department of Tropical Medicine, Hainan Medical University, Haikou, China; Department of Community Medicine, Dr. DY Patil University, Mumbai, Maharashtra, India

Date of Web Publication29-Mar-2018

Correspondence Address:
Dr. Beuy Joob
Sanitation 1 Medical Academic Center, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aian.AIAN_370_17

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How to cite this article:
Joob B, Wiwanitkit V. Spinal intramedullary cysticercosis: A summary of three cases in Thailand. Ann Indian Acad Neurol 2018;21:87-8

How to cite this URL:
Joob B, Wiwanitkit V. Spinal intramedullary cysticercosis: A summary of three cases in Thailand. Ann Indian Acad Neurol [serial online] 2018 [cited 2019 Oct 15];21:87-8. Available from: http://www.annalsofian.org/text.asp?2018/21/1/87/228836




Sir,

Cysticercosis is an important cestode infection. The infection is due to the ingestion of food contaminated with parasite egg [Figure 1]. The formation of parasitic cyst [Figure 2] inside the body is the main clinical problem of cysticercosis [Figure 2]. The infection can be at any organ systems including the neurological system. The specific neurological infection of cysticercosis is called neurocysticercosis. Neurocysticercosis is a common problem seen worldwide. The problem is considered an important tropical neurological infection. Most patients with neurocysticercosis have the pathological at brains. The patients might have no symptom or present with unexplained neurological problems such as seizure. Apart from brain, neurocysticercosis is detectable at the spinal cord. The extramedullary or intramedullary neurocysticercosis can be seen in clinical practice. In medicine, spinal intramedullary cysticercosis is an extremely rare condition. Less than 100 cases are available on the international publications.
Figure 1: Taenia egg that can contaminate in food and further causes cysticercosis

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Figure 2: Cysticercosis cyst in flesh

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Here, the authors summarize the data on published cases from Thailand; a tropical endemic country of cysticercosis. Based on the literature search on international and local databases (PubMed, Scopus, and Thai Index Medicus), there are only 3 publications on spinal intramedullary cysticercosis from Thailand.[1],[2],[3] There are 2 female and 1 male. All patients present with spinal cord compression and one case had additional bilateral sensory neural hearing loss and hydrocephalus. The lesions can be seen at any spinal cord levels, and multi-level involvement is common (cervical level 1 case, thoracic level 3 cases, and lumbar level 3 cases). Syringomyelia is an additional spinal cord problem in 1 case. All patients got surgical treatment, and only 2 from 3 cases have a complete recovery. The case without complete recovery ends up with death due to status epilepticus and septic shock.

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Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Jarupant W, Sithinamsuwan P, Udommongkol C, Reuarrom K, Nidhinandana S, Suwantamee J, et al. Spinal cord compression and bilateral sensory neural hearing loss: An unusual manifestation of neurocysticercosis. J Med Assoc Thai 2004;87:1244-9.  Back to cited text no. 1
    
2.
Prabhawongse P. Spinal cysticercosis: Report a case. J Thai Orthop Assoc 1983;8:127-30.  Back to cited text no. 2
    
3.
Prasathapong S. Intramedullary cysticercosis:First case report in Thailand and literature review. Chula Med J 1995;39:443-50.  Back to cited text no. 3
    


    Figures

  [Figure 1], [Figure 2]



 

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