Resumo
Relato de cisticercose intramedular em homem de 42 anos que há seis anos sentia parestesias
em ambas as pernas, que evoluíram para ausência de sensação dolorosa, por fim paraparesia
espástica dos membros inferiores. Ao exame físico, verificaram-se sinal de Babinski
bilateral, espasticidade dos membros inferiores e déficit de sensibilidade abaixo
de T7. Ressonância nuclear magnética mostrou uma lesão expansiva ao nível de T5. Durante
a exérese do processo, constatou-se que se tratava de cisticercose, em sua forma tumoral
intramedular. Após a retirada, o mesmo evoluiu de maneira satisfatória, porém sem
regressões dos sintomas.
Abstract
A case of spinal cord cysticercosis in a 42 year-old man is reported. He presented
a six years history of paresthesia in both legs, which progressed to lack of feeling
pain, spastic paraparesis of the lower limbs. On physical examination there was bilateral
Babinski sign, spasticity of the lower limbs, and lack of sensitivity below T7. The
magnetic resonance imaging showed an expansive lesion at the level of T5. Patient
was referred for excision of the process, and while it was withdrawn, it was found
that to be a cysticercosis in a shape of spinal cord tumor. There was no postoperative
complication but the symptoms did not improve.
Palavra-chave
Neurocisticercose intramedular
Keyword
Spinal cord neurocysticercosis
