Spinal neurocysticercosis diagnosed by lumbar puncture

Authors

  • Charles Huamaní Médico neurólogo, magíster en ciencias en investigación epidemiológica; Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú; Universidad Nacional San Antonio Abad del Cusco. Cusco, Perú; Universidad Andina del Cusco, Cusco, Perú
  • Diego Galindo Médico neurólogo; Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú
  • Raquel Aldave Médico neurólogo, magíster en medicina; Hospital Nacional Guillermo Almenara Irigoyen, Lima, Perú

DOI:

https://doi.org/10.15381/anales.v79i4.15638

Keywords:

Neurocysticercosis, Spinal Puncture, Intracranial Hypertension

Abstract

Neurocysticercosis is a frequent disease, its main location is in the brain parenchyma; however, less than 5% of cases are of spinal location where they produce pseudotumoral or obstructive clinical manifestations. We present the case of a patient admitted due to chronic headache with signs of endrocranial hypertension, without clinical symptoms, and in whom a cysticercotic membrane and cerebrospinal fluid with high glucose consumption (3mg/dL) was obtained during the lumbar puncture study. The finding of a cysticercus of intradural-extramedullary location, during a lumbar puncture is a very rare finding, only described in patients with evident clinical signs. We recommend suspecting it when there is no clinical evidence of spinal cord involvement but there is a suggestion of cerebral cysticercosis and altered cerebrospinal fluid, expanding the study with neuroimaging.

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Published

2018-12-30

Issue

Vol. 79 No. 4 (2018)

Section

Reporte de Casos

License

Copyright (c) 2018 Anales de la Facultad de Medicina

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How to Cite

1.
Huamaní C, Galindo D, Aldave R. Spinal neurocysticercosis diagnosed by lumbar puncture. An Fac med [Internet]. 2018 Dec. 30 [cited 2024 Jul. 17];79(4):323-6. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/15638