An isolated subcutaneous paraspinal pseudo-tumor—more to it than meets the eye—a case report and review of literature

Author:

Keny Swapnil1,Modi Nihar2,Keny Aryan3,Gokhale Nikhil2,Yadav Saurabh2,Azad Kalpana4

Affiliation:

1. KB Bhabha Municipal Hospital , Bandra, Mumbai, Maharashtra , India

2. Department of Orthopaedics, KB Bhabha Municipal Hospital , Bandra, Mumbai, Maharashtra , India

3. Seth GS Medical College and KEM Hospital , Mumbai , India

4. Department of Pathology, KB Bhabha Municipal Hospital , Bandra, Mumbai, Maharashtra , India

Abstract

Abstract A 4-year-old male child presented to us with a paraspinal pseudo-tumor over the mid-back region with pain being his only symptom. On initial ultrasonography, it was presumed to be a nerve sheath tumor, but on an excision biopsy and histopathology, it proved to be a subcutaneous cysticercosis. Furthermore, an MRI of the brain showed a ring enhancing lesion with vasogenic edema, which confirmed the diagnosis of a neurologically symptomless neurocysticercosis. We treated the patient with albendazole and a short course of dexamethasone. There was complete resolution of the painful subcutaneous swelling, and the patient remained neurologically symptomless at all subsequent follow-ups. Resolution of the brain lesions was seen in the 6-month MRI follow-up. Although rare, orthopedic surgeons should consider the possibility of parasitic infections when dealing with small near-asymptomatic soft tissue paraspinal swellings of uncertain etiology. A thorough investigation in such cases can be lifesaving.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference20 articles.

1. Paraspinal pseudoneoplasms: a series of 58 consultation cases emphasizing the importance of pathology-radiology correlation;Gross;Hum Pathol,2020

2. Skeletal muscle cysticercosis;Kumar;Int J Healthcare Biomed Res,2014

3. Isolated cysticercosis of sternocleidomastoid muscle: role of ultrasonography;Thapa;Case Rep Infect Dis,2021

4. Solitary intramuscular cysticercosis-a report of two cases;Ramraje;Australas Med J,2011

5. Solitary cysticercosis of sternocleidomastoid muscle: a rare entity;Singh;Int J Otorhinolaryngol Head Neck Surg,2016

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