A Case of Sparganosis in the Bifrontal Intracerebral Region.
- Author:
Sang Woo KIM
1
;
Jang Ho BAE
;
Seong Ho KIM
;
Oh Lyong KIM
;
Byung Yon CHOI
;
Soo Ho CHO
Author Information
1. Department of Neurosurgery, College of Medicine, Yeungnam University, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Cerebral sparganosis;
Computed tomography;
Bilateral involvement
- MeSH:
Cestoda;
Dilatation;
Female;
Headache;
Humans;
Larva;
Middle Aged;
Seizures;
Sparganosis*;
Spirometra
- From:Journal of Korean Neurosurgical Society
1996;25(7):1537-1542
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cerebral sparganosis is an uncommon parasitic zoonosis caused by a migrating plerocercoid tapeworm larva of the genus Spirometra. On computed tomography scans, the following characteristics were reported:1) unilateral involvement;2) extensive or multifocal areas of low density along the white matter bundles with ipsilateral ventricular dilatation and localized cortical atrophy;3) nodular or irregular enhancement with spotty calcification;and 4) change in the location of enhancing nodules on sequential scans. In this report, a 46-year-old female patient was suffering from generalized tonic-clonic seizure and headache. A computed tomography scan revealed a nodular high density contrast enhancement with small calcification against low density background. These computed tomography scan findings were thought to be characteristic for cerebral sparganosis mansoni. But the unique feature in this case was bilateral involvement. We therefore report this rare case of bifrontal intracerebral sparganosis together with some discussion of the literature.
