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Case No. 434
2017-02-01~2017-02-28
출제자 : 이경미
Hit : 300
| Period | 2017-02-01~2017-02-28 |
|---|---|
| Diagnosis | Cerebral Spragnosis |
| Clinical information | 79/F C.C> 좌측 팔, 다리 힘이 빠지는 증상을 주소로 내원. 2016년 11월부터 생새우를 간장에 절여만든 새우장을 꾸준히 섭취함. 최근 기억력과 인지가 나빠짐. 진단은? |
| Discussion | Sparganosis is a rare parasitic infection in humans by a larval cestode of the genus Spirometra. It has been believed that humans are considered an accidental intermediate host of Spirometra mansoni. Infection in humans occurs mainly by the ingestion of raw or in dequately cooked flesh of the infected host such as frogs, snakes, and chickens. Other routes of infection include drinking contaminated water or applying the flesh of an infected host as a poultice to an open wound, such as the eye, skin, mucosa, or the wall of an abscess. MR findings: 1) most important, and characteristic, finding - the tunnel sign on the postcontrast MR images, hypointense on T1WI and slightly hyperintense or isointense on T2WI. column or fusiform shape, tunnel represented the moving track of a migrating worm 2) conglomerated ring like enhancement, bead shape |
| Correct answer |
Correct Answer
Semi-Correct Answer |