| Isolated spinal neurocysticercosis : unusual ocular presentation mimicking pseudotumor cerebri. | |
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MedLine Citation:
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PMID: 21716628 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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Spinal intradural cysticercosis is a rare manifestation of neurocysticercosis. We report a unique patient who showed visual symptoms and normal imaging of the brain caused by isolated spinal neurocysticercosis. A 59-year-old male patient was admitted to the emergency unit with a history of severe headache and progressive blurred vision. Brain computed tomographic scanning and magnetic resonance imaging showed normal cerebral anatomy without hydrocephalus. The fundoscopic evaluation by an ophthalmologist showed bilateral papilledema. Perimetry studies revealed visual field defects in both eyes. With the diagnosis of pseudotumor cerebri, a lumbar tap was attempted; however, we could not drain the cerebrospinal fluid in spite of appropriate attempts. Lumbar magnetic resonance imaging revealed multilevel intraspinal lesions that were confirmed histologically to be neurocysticercosis. An intraoperative lumbar puncture revealed an increased opening pressure and cytochemical analysis showed elevated cerebrospinal fluid protein level. The headache resolved immediately after surgery. However, the visual symptoms remained and recovered only marginally despite antihelminthic medications after six months of operation. |
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Authors:
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Jong Hun Seo; Hong Ju Seo; Seok Won Kim; Ho Shin |
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Publication Detail:
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Type: Journal Article Date: 2011-05-31 |
Journal Detail:
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Title: Journal of Korean Neurosurgical Society Volume: 49 ISSN: 1598-7876 ISO Abbreviation: J Korean Neurosurg Soc Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-06-30 Completed Date: 2011-07-14 Revised Date: 2011-08-01 |
Medline Journal Info:
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Nlm Unique ID: 101467054 Medline TA: J Korean Neurosurg Soc Country: Korea (South) |
Other Details:
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Languages: eng Pagination: 296-8 Citation Subset: - |
Affiliation:
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Department of Neurosurgery, College of Medicine, Chosun University, Gwangju, Korea. |
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