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Case No. 665
2023-08-01~2023-08-31
출제자 : 황인평
Hit : 535
| Period | 2023-08-01~2023-08-31 |
|---|---|
| Diagnosis | Toxocariasis |
| Gender |
|
| Age | 55 |
| Clinical information | M/55 C.C.: Aggravating L/E numbness (onset: 1MA) 진단은? |
| Discussion | From dogs and cats fecal material to human Can invade variety of organs: liver, lung, brain, muscle, eye Although rare, Toxocara canis larvae can cross the blood–brain barrier leading to neurotoxocariasis. MRI findings: Cerebral - Single or multiple, subcortical, cortical or white matter - Hyperintense lesions best visualized on FLAIR and T2-weighted imaging - Usually isointense or hypointense on T1, strong contrast enhancement Spinal - Extent: 1~3 vertebral column in sagittal plane - T2 high SI: Central, diffuse (50%) / Posterolateral, wedge shape (30%) / Posterior or lateral, focal (20%) - T1 iso SI, contrast enhancement - Resolved (3/5) or improved lesion(1/5) after treatment Treatment: Albendazole & steroid, independently or combined Reference) AJNR Am J Neuroradiol. 2013;24(4):714-718 J Korean Soc Radiol. 2020;81(1):135-146 |
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