Cysticercosis Presenting as an Isolated Cervical Intramedullary Lesion: A Rare Benign Condition at a Dangerous Location

Abstract

The intramedullary lesions affecting cervical cord usually present with signi fi cant neurological de fi cits and the differentials on magnetic resonance imaging (MRI) can be neoplastic, infective, vascular, or demyelinated. 1 We are providing imaging description of an isolated cervical intramedullary cysticercosis, which is very rare, with only 24 cases reported to date. A 21-year-old male patient presented with complaints of neck pain of 3-month duration followed by asymmetric spastic quadriparesis (power ⅕ in both upper limbs, 4 þ /5 in lower limbs), along with graded sensory loss below C4 dermatome, and bladder and bowel involvement of 2-month duration; Modi fi ed Japanese Orthopedic Association (mJOA) score at presentation was 8. Preoperative MRI revealed a well-circumscribed