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Late Onset Symptomatic Enlargement of Treated Spinal Intradural Neurocysticercosis Cyst

Cyst enlargement with progressive symptoms in spinal intradural Neurocysticercosis (NCC) is an uncommon finding after effective treatment of NCC. Neither imaging nor clinical presentation is sufficient to differentiate a sterile arachnoid cyst from recurrence of NCC. We present a case of symptomatic spinal intradural cyst enlargement 16 years after successful treatment of intracranial and spinal NCC with anti-helminthics.