medigraphic.com
Academia Mexicana de Neurología, A.C.

2009, Number 1

<< Back Next >>

Rev Mex Neuroci 2009; 10 (1)

Stereotactic resection of an alive Sparganum mansonis larva in Cuba. Case report

Fernández AM, García MI, Figueredo MJ, Clará MG, Rodríguez NA, Mesa SA, Rodríguez CI, Alfonso SC, Capó V, Estupiñán B, Rodríguez R

Language: Spanish
References: 22
Page: 49-52
PDF size: 158.15 Kb.


ABSTRACT

Background: Brain Sparganosis is a non-common parasitary infection by the Spirometra mansonoide larva or Diphillobotrium that can migrate to virtually any part of the body. Although it has an ample geographic distribution, this disease has been mainly located in Asia. The localization of the Sparganum mansonoides in the nervous system has been sporadically reported, but up to the moment, none of the cases have taken place in Cuba. Method: We reported a patient bearer of a brain Sparganosis localized in the parietal region of the right brain hemisphere, as well as the clinical form of presentation, findings in performed studies and the surgical treatment used. Results: A biopsy was performed using the Cuban stereotactic system, STEREOFLEX, with witch we managed to obtain the removal of a whole Sparganum mansonis alive larva. Conclusions: Due to previous ingestion of Cuban boa (majá) on several occasions, we infer that it’s the form of the patient’s infection. The surgical resection is the selected treatment for this disease.


REFERENCES

  1. Yoon KC, Seo MS, Park SW, Park YG. Eyelid Sparganosis. Am J Ophthalmol 2004; 138: 873-5.

  2. Kwon JH, Kim JS. Sparganosis presenting as a conus medullaris lesion: case report and literature review of the spinal sparganosis. Arch Neurol 2004; 61(7): 1126-8.

  3. Hyuk SP, Heuck CL, Jin WC, Young-Cho K. Cerebral Sparganosis with Apoplectic Presentation. J Korean Neurosurg Soc 2004; 36: 235-8.

  4. Tung CC, Lin JW, Chou FF. Sparganosis in male breast. J Formos Med Assoc 2005; 104(2): 127-8.

  5. Rengarajan S, Nanjegowda N, Bhat D, Mahadevan A, Sampath S, Krishna S. Cerebral sparganosis: a diagnostic challenge. Br J Neurosurg 2008; 24: 1-3.

  6. Walker P, Cooper NK, Brandis A. Cerebral sparganosis presenting as grand mal epilepsy. J R Army Med Corps 2007; 153(3): 189-90.

  7. Epidemiology. Available at: http://www.stanford.edu/class/humbio103/ ParaSites2001/sparganosis. (Accessed: July 2008).

  8. De Toro y Gispert M, García-Pelayo y Gross R (eds.). Pequeño Larousse Ilustrado. Habana: Edición Revolucionaria; 1968.

  9. Boero A, Garaguso P, Navarré J. Un caso de sparganosis cerebral en Sudamérica. Arq Neuro-Psiquiat (Sao Paulo) 1991; 49(1): 111-14.

  10. Song T, Wang WS, Zhou BR, Mai WW, Li ZZ, Guo HC, Zhou F. CT and MR characteristics of cerebral sparganosis. AJNR Am J Neuroradiol 2007; 28(9): 1700-5.

  11. Mueller JF. The biology of Spirometra. J Parasitol 1974; 60: 3-14.

  12. Park SH, et al. Cerebral Sparganosis with Apoplectic Presentation. J Korean Neurosurg Soc 2004; 36: 235-8.

  13. Takeuchi K. A case with plerocercoid witch is parasitic in the brain. Nippon Byori Gakkai Kaishi 1918; 7: 611-20.

  14. Chang KH, Chi JG, Cho SY, Han MH, Han DH, Han MC. Cerebral sparganosis: Analysis of 34 cases with emphasis on CT features. Neuroradiology 1992; 34: 1-8.

  15. Moon WK, Chang KH, Cho SY, Han MH, Cha SH, Chi JG, et al. Cerebral sparganosis. MR imaging versus CT features. Radiology 1993; 188: 751-7.

  16. Kim SH, Park K, Lee ES. Three cases of cutaneous sparganosis. Int J Dermatol 2001; 40: 656-8.

  17. Griffin MP, Tompkins KJ, Ryan MT. Cutaneous sparganosis. Am J Dermatopathol 1996; 18: 70-2.

  18. Kim JR, Lee JM. A case of intramuscular sparganosis in the sartorius muscle. J Korean Med Sci 2001; 16: 378-80.

  19. Nobayashi M, Hirabayashi H, Sakaki T, Nishimura F, Fukui H, Ishizaka S, Yoshikawa M. Surgical removal of a live worm by stereotactic targeting in cerebral sparganosis. Case report. Neurol Med Chir (Tokyo) 2006; 46(3): 164-7.

  20. Tsai MD, Chang CN, Ho YS, Wang AD. Cerebral sparganosis diagnosed and treated with stereotactic techniques. Report of two cases. J Neurosurg 1993; 78(1): 129-32.

  21. Jeong SC, Bae JC, Hwang SH, Kim HC, Lee BC. Cerebral sparganosis with intracerebral hemorrhage: a case report. Neurology 1998; 50(2): 503-6.

  22. Okamura T, Yamamoto M, Ohta K, Matsuoka T, Uozumi T. Cerebral sparganosis mansoni - case report. Neurol Med Chir (Tokyo) 1995; 35(12): 909-13.




2020     |     www.medigraphic.com