뇌실질내에 발생한 Sparganosis의 임상적 분석
Clinical Analysis of Cerebral Sparganosis
소속 상세정보
윤승환
허철/변진수/홍순기/김헌주/한용표
KMID : 0359819940230030299
Abstract
The tape-worm spirometra mansonoides infests man world-widely, particularly in Asian countries with rare involvement of the central nervous system. Recently, the authors have experienced 7 cases of cerebral sparganosis, and reviewed their
clinical
manifestation, radiographic findings, operative and pathologic findings, and follow-up results. The cerebral sparganosis manifests headache, seizure, or hemiparesis. Most of patient had episodes of eating frogs of snakes. The brain CT scan showed
low
density area with ipsilateral ventricular dilatation, Enzyme linked immunosorbent assay(ELISA) test showed positive response to scrum and cerebrospinal fluid. The best treatment for cerebral sparganosis mansoni is surgical removal, from which we
confirmed 4(17%) cases of live worms in operative and patholgic findings, and most of the seizure disappeared or decreased after operation.
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