An 80-year-old man from the Brazilian Midwest presented with tetraparesis with brachial predominance and hyperreflexia with 1 year of evolution. In investigation, cervical MRI showed intramedullary cystic formation (4.6 x 1.7 x 1.3 cm), and brain MRI was suggestive of neurocysticercosis (Figure 1). CT of the chest, abdomen, and pelvis and endoscopy and colonoscopy were normal. CSF showed hyperproteinorachia (113 mg/dL). The excision of the lesion of the spinal cord was uneventful, and the anatomopathological examination was compatible with neurocysticercosis (Figure 2). Slight improvement in paresis was noted on reassessment after 2 weeks, when albendazole (15 mg/kg/d) and corticosteroids were started for 4 weeks. This rare presentation of neurocysticercosis (Taenia solium) corresponds to 1%–3% of cases.¹ Infectious etiologies should be considered in the differential diagnosis of spinal cord syndromes, mainly in emerging countries, where Dr. there is precarious basic sanitation and contact with contaminated water and food.²

一名来自巴西中西部的 80 岁男性出现肱骨优势性四肢瘫痪和反射亢进，病情已发展 1 年。在调查中，颈部 MRI 显示髓内囊性形成（4.6 x 1.7 x 1.3 厘米），脑部 MRI 提示神经囊尾蚴病（图 1）。胸部、腹部和骨盆 CT、内窥镜检查和结肠镜检查均正常。CSF 显示蛋白过多 (113 mg/dL)。脊髓病变切除顺利，解剖病理学检查符合神经囊尾蚴病（图2）。2周后重新评估时发现，当开始使用阿苯达唑（15 mg/kg/d）和皮质类固醇4周时，轻瘫症状略有改善。这种罕见的神经囊尾蚴病（猪带绦虫）占病例的 1%–3%。¹在脊髓综合征的鉴别诊断中应考虑感染性病因，主要是在新兴国家，这些国家的基本卫生条件不稳定，并且接触受污染的水和食物。²