Cerebral sparganosis : A first case report from Songklanagarind Hospital
Pairaya Chiaranorot, D. of Internal Medicine, F. of Medicine, PSU.
Suwanna Sinsawaiwong, D. of Internal Medicine, F. of Medicine, PSU.
Thakul Oearsakul, D. of Surgery, F. of Medicine, PSU.
Corresponding e-mail : ssuwanna@ratree.psu.ac.th
Presented : The 16th Annual Academic Meeting, Faculty of Medicine, PSU, Hat Yai, Songkhla,
16-18 August 2000
Key words : cerebral sparganosis
Human cerebral sparganosis is a rare parasitic disease caused by a migratory tapeworm larva from Spirometra mansonoides. Granuloma is a common feature of cerebral sparganosis which is difficult to distinguish from brain tumor or other infectious granuloma. The diagnosis is usually made after surgical operation. This case, a 26-year-old woman, was admitted with fever and generalized tonic clonic seizure. The sequential magnetic resonance imaging of the brain revealed multiple enhanced nodules which appeared to change location from one part of the brain to the other. Craniotomy was performed and a live larva of sparganum was found.
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