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Case No. 388
2015-10-01~2015-10-31
출제자 : 차지훈
Hit : 366
| Period | 2015-10-01~2015-10-31 |
|---|---|
| Diagnosis | Sparganosis |
| Clinical information | M/53 C.C.> right side weakness |
| Discussion | Imaging findings - Encephalomalacia in left temporooccipical lobe with puntate calcifications - Multiloculated rim enhancing lesions with migrating nature on follow up study Review - Human sparganosis is a rare parasitic disease caused by infection of sparganum, a second-stage larva of Spirometra mansoni. Eat raw frog, snake, chicken, contaminated water - Endemic in East and Southeast Asia and occurs sporadically in the rest of the world - Sparganosis involve the subcutaneous tissue, muscle, eye, breast, peritoneum, pleura, spinal cord, and brain - Route of sparganum infestation to the brain Alimentary canal abdominal cavity diaphragm mediastinum neck foramen magnum or jugular foramen brain - Imaging features “tunnel” sign and “beadlike” or conglomerated ring-like enhancement Migration on follow up Unilateral, hemispheric atrophy/encephalomalacia with calcification |
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Correct Answer
Semi-Correct Answer |