PMC9687096_01
Pre-operative MRI with and without contrast of spine [(A): T2, (B): T1 wo contrast, (C): T1 w contrast], demonstrating a rim-enhancing cystic lesion in the mid-thoracic spine with diffuse surrounding cord edema.
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F1
A magnetic resonance imaging (MRI) scan of her brain and entire spine demonstrated a ring-enhancing lesion at T8 with significant surrounding edema measuring 1.4 x 1.0 cm (shown in Figure 1).
Gross specimen of lesions extracted during surgical intervention, one large (A) and one small (B).
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F2
A cystic component was then entered; purulence was noted on gross examination and suctioned away (shown in Figure 2).
(A) Pathology demonstrates the characteristic three-layered wall of a (B) neurocysticercosis cyst: the undulating outer eosinophilic cuticular layer, the underlying cellular layer containing uniform small dark nuclei, and the inner reticular layer containing loosely arranged fibrils. Small amounts of calcification seen are consistent with the chronic nature of the infection.
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F3
The preliminary pathological report returned as neurocysticercosis (shown in Figure 3).
Post-operative MRI with and without contrast of the spine [(A): T2, (B): T1 w contrast], demonstrating interval decrease in size of the lesion as well as decrease in the edema surrounding the lesion.
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F4
An MRI was obtained demonstrating interval decrease in the size of lesion as well as decrease in the surrounding edema within the spinal cord (shown in Figure 4).