Summery of clinical features, history, methods, and results in 25 patients with cerebral sparganosis
Patient No./Age (y)/Sex | Imaging Modalities | History | Clinical Manifestations | Results of ELISA | Surgery* | |
---|---|---|---|---|---|---|
Serum | CSF | Worm Found | ||||
1/80/M | CT‡, MR§ | Raw snake ingestion 40 years previously | Headache and seizures for 10 years, left hemiparesis for 2 years | + | + | Degenerated |
2/45/F | CT‡, MR§ | Uncooked frog ingestion 16 years previously | Headache, seizures, and right hemiparesis for 6 years | + | + | Live |
3/53/F | CT‡, MR§ | Uncooked frog ingestion 13 years previously | Headache, intermittent seizures, and left hemiparesis for 2 years | + | + | Degenerated |
4/24/F | CT‡, MR§ | Contaminated water drinking for 6 years | Headache and focal seizures for 7 years | + | + | Degenerated |
5/9/M | CT†, MR§ | Uncertain | Headache, intermittent seizures for 2 years | + | − | Live |
6/14/M | CT†, MR§ | Raw snake ingestion 6 years previously | Seizures and left hemiparesis for 4 years | + | + | Live |
7/39/M | MR§ | Uncertain | Headache and seizures for 5 years | + | + | Degenerated |
8/34/M | CT† | Uncertain | Seizures, left hemiparesis for 8 years | + | + | Live |
9/37/F | CT†, MR§ | Flesh of frog applied to the skin wound 5 years previously | Headache and seizures for 3 years, right hemiparesis for 8 months | + | + | Degenerated |
10/28/F | CT† | Flesh of snake applied to skin wound 10 years previously | Focal seizures for 7 years, right hemiparesis for 13 months | + | − | Degenerated |
11/36/F | CT†, MR§ | Contaminated water drinking for 2 years | Headache for 3 years, right hemiparesis for 1 year | + | + | Live |
12/38/M | MR§ | Contaminated water drinking 19 years previously | Generalized seizures for 6 years, right hemiparesis for 11 months | + | + | Degenerated |
13/47/M | MR§ | Flesh of frog applied to abscess on back 13 years previously | Focal seizures for 8 years, right hemiparesis for 1 year | + | + | Degenerated |
14/42/M | MR§ | Contaminated water drinking 20 years previously | Headache, focal seizures for 3 years | − | + | Degenerated worm found |
15/83/F | MR§ | Raw frog ingestion 46 years previously | Headache for 30 years, right hemiparesis for 15 months | + | + | Degenerated |
16/45/M | MR§ | Raw snake ingestion 9 years previously | Generalized seizures for 6 years | − | + | Degenerated |
17/41/F | MR§ | Raw frog ingestion 17 years previously | Seizures and right hemiparesis for 7 years | + | − | Degenerated |
18/43/F | MR§ | Raw snake ingestion 14 years previously | Headache, seizures for 9 months | + | + | Degenerated |
19/38/M | MR§ | Raw frog ingestion 9 years previously | Headache, seizures for 4 years; | + | − | Degenerated |
left hemiparesis for 14 months | − | + | Degenerated | |||
20/29/F | MR§ | Frog ingestion for 7 years | Seizures for 3 years | + | + | Degenerated |
21/37/M | MR§ | Raw snake ingestion 11 years previously | Headache and seizures for 2 years; | + | − | Degenerated |
right hemiparesis for 15 months | + | + | Degenerated | |||
22/48/M | MR§ | Uncooked frog ingestion 7 years previously | Headache and seizures for 3 years | + | None | |
23/26/F | MR§ | Uncooked snake ingestion 5 years previously | Focal seizures for 2 years | + | + | Degenerated |
24/31/F | MR§ | Contaminated water drinking 11 years previously | Headache and seizures for 6 years | + | − | Degenerated |
25/20/M | MR§ | Uncertain | Focal seizures for 9 months | + | + | Degenerated |
Note:—ELISA indicates enzyme-linked immunosorbent assay; +, positive; −, negative.
* In this study, craniotomy was performed in 18 patients and a stereotactic targeting biopsy in 7 patients.
† Unenhanced CT scanning.
‡ Unenhanced, contrast-enhanced CT scanning.
§ Unenhanced, contrast-enhanced MR scanning.