A Case of Racemose Cysticercus Infection.
- Author:
Ji Soo JANG
1
;
Sung Nam HWANG
;
Duck Young CHOI
;
Seung Yull CHOI
;
Suk Il KIM
Author Information
1. Department of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Racemose cysticercosis;
Lobated cystic mass;
Micro-ELISA;
Cysticercose cellulosae;
Praziquantel
- MeSH:
Brain;
Cysticercosis;
Cysticercus*;
Female;
Follow-Up Studies;
Humans;
Immunoglobulin G;
Middle Aged;
Praziquantel;
Rabeprazole;
Subarachnoid Space
- From:Journal of Korean Neurosurgical Society
1986;15(4):841-848
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Racemose cysticercosis, which is almost exclusively found in intracranial cavity in vary rare occasions, was recognized in a 54-year-old Korean woman. Brain CT revealed a large lobated cystic mass without marginal enhancement, in the right frontotemporal lobe, together with irregularly distributed calcified spots in the parietal area. A 5x6x7cm sized irregularly lobated mass in the subarachnoid space, containing 38ml of xanthochromic fluid was removed. Pathologically the cyst was a racemose cysticercus without scolex. The serum and CSF of the patient showed positive reaction with antigen of Cysticercose celluosae by micro-ELISA for their specific IgG antibody. After the surgery, the patient was treated with Praziquantel for remaining worms(as revealed by calcified spots on brain CT). Follow-up examinations showed improvement in both clinical symptoms and brain CT findings, but Cysticercus-specific IgG antibody level did not fall to normal for 1 year. The rarity of racemose cysticercus infection, together with evidences of concomitant occurrence with C. cellulosae warranted one's case report.
