Abstract

HUAMANI, Charles; GALINDO, Diego  and  ALDAVE, Raquel. Spinal neurocysticercosis diagnosed by lumbar puncture. An. Fac. med. [online]. 2018, vol.79, n.4, pp.323-326. ISSN 1025-5583.  http://dx.doi.org/10.15381/anales.v79i4.15638.

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.

Keywords : Neurocysticercosis; Spinal Puncture; Intracranial Hypertension.

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