Migration of cerebral sparganosis to the ipsilateral cerebellar hemisphere

• Autorzy: Eom K S , Kim T.Y.
• Języki publikacji: EN

Abstrakty

EN

We report the case of a 52-year-old man in whom multiple conglomerated ring-enhanced lesions in the left frontal lobe were revealed on magnetic resonance imaging (MRI); further, he presented with headache. Subtotal resection of the mass was performed and the histopathological diagnosis of gemistocytic astrocytoma was made. He received postoperative radiotherapy of remnant mass. Six months post-surgery, new multiple lesions were developed on the left cerebellum and the lesion yielded radiological findings that were quite similar to those of the lesion previously observed in the left frontal lobe. Total resection was performed with the aid of neuronavigation and a live yellow 10-cm-long worm with an active scolex was found. A pathologist identified the worm as a sparganum of Spirometra mansoni. This suggests that the live worm may have moved to the ipsilateral cerebellum due to the stimulus from the surgery and radiation on the frontal lobe. Although this case presented characteristic MRI findings of sparganosis, we did not conduct a serological test; therefore, we misdiagnosed sparganosis as gemistocytic astrocytoma. To the best of our knowledge, this is the first report of the ipsilateral transtentorial migration of cerebral sparganosis.

Słowa kluczowe

EN

cerebral hemisphere; intracranial parasitic infection; sparganosis; magnetic resonance imaging; cerebral sparganosis; histopathological diagnosis; migration; gemistocytic astrocytoma

• Wydawca: -
• Czasopismo: Acta Parasitologica
• Rocznik: 2009
• Tom: 54
• Numer: 3
• Opis fizyczny: p.276-280,fig.,ref.

Twórcy

autor

Eom K S

• Wonkwang University, 344-2 Shinyong-dong, Iksan 570-711, Korea

autor

Kim T.Y.

Bibliografia

• Chang K.H., Moon H.H. 1998. MRI of CNS parasitic disease. Journal of Magnetic Resonance Imaging, 8, 297–307. DOI: 10.1002/jmri.1880080209.
• Ishii H., Mukae H., Inoue Y., Kadota J.I., Kohno S., Uchiyama F., Nawa Y. 2001. A rare case of eosinophilic pleuritis due to sparganosis. Internal Medicine, 40, 783–785. DOI: 10.2169/internalmedicine.40.783.
• Jeong H.J. 2004. Fournier’s gangrene associated with sparganosis in the scrotum. Urology, 63, 176–177. DOI: 10.1016/j.urology.2003.09.023.
• Jeong S.C., Bae J.C., Hwang S.H., Kim H.C., Lee B.C. 1998. Cerebral sparganosis with intracerebral hemorrhage: a case report. Neurology, 50, 503–506.
• Kim D.G., Paek S.H., Chang K.H., Wang K.C., Jung H.W., Kim H.J., Chi J.G., Choi K.S., Han D.H. 1996. Cerebral sparganosis: clinical manifestation, treatment, and outcome. Journal of Neurosurgery, 85, 1066–1071.
• Kim H., Kim S.I, Cho S.Y. 1984. Serological diagnosis of human sparganosis by means of micro-ELISA. Korean Journal of Parasitology, 22, 222–228.
• Kudesia S., Indira D.B., Sarala D., Vani S., Yasha T.C., Jayakumar P.N., Shankar S.K. 1998. Sparganosis of brain and spinal cord: unusual tapeworm infestation (report of two cases). Clinical Neurology and Neurosurgery, 100, 148–152. DOI: 10.1016/S0303-8467(98)00027-4.
• Lee J.H., Yu J.S., Park M.S., Lee S.I., Yang S.W. 2005. Abdominal sparganosis presenting as an abscess with fistulous communication to the bowel. American Journal of Roentgenology, 185, 1084–1085. DOI: 10.2214/AJR.04.1680.
• Murata K., Abe T., Gohda M., Inoue R., Ishii K., Wakabayashi Y., Kamida T., Fujiki M., Kobayashi H., Takaoka H. 2007. Difficulty in diagnosing a case with apparent sequel cerebral sparganosis. Surgical Neurology, 67, 409–411. DOI: 10.1016/j.surneu.2006.06.056.
• Settakorn J., Arpornchayanon O., Chaiwun B., Vanittanakom P., Thamprasert K., Rangdaeng S.J. 2002. Intraosseous proliferative sparganosis: a case report and review of the literature. Journal of the Medical Association of Thailand, 85, 107–113.
• Song T., Wang W.S., Zhou B.R., Mai W.W., Li Z.Z., Guo H.C., Zhou F. 2007. CT and MR characteristics of cerebral sparganosis. American Journal of Neuroradiology, 28, 1700–1705. DOI: 10.3174/ajnr.A0659.
• Tihan T., Vohra P., Berger M.S., Keles G.E. 2006. Definition and diagnostic implications of gemistocytic astrocytomas: a pathological perspective. Journal of Neuro-Oncology, 76, 175–183. DOI: 10.1007/s11060-005-4897-2.
• Yoon K.C., Seo M.S., Park S.W., Park Y.G. 2004. Eyelid sparganosis. American Journal of Ophthalmology, 138, 873–875. DOI: 10.1016/j.ajo.2004.05.055.