Table 1:

Summery of clinical features, history, methods, and results in 25 patients with cerebral sparganosis

Patient No./Age (y)/SexImaging ModalitiesHistoryClinical ManifestationsResults of ELISASurgery*
SerumCSFWorm Found
1/80/MCT, MR§Raw snake ingestion 40 years previouslyHeadache and seizures for 10 years, left hemiparesis for 2 years++Degenerated
2/45/FCT, MR§Uncooked frog ingestion 16 years previouslyHeadache, seizures, and right hemiparesis for 6 years++Live
3/53/FCT, MR§Uncooked frog ingestion 13 years previouslyHeadache, intermittent seizures, and left hemiparesis for 2 years++Degenerated
4/24/FCT, MR§Contaminated water drinking for 6 yearsHeadache and focal seizures for 7 years++Degenerated
5/9/MCT, MR§UncertainHeadache, intermittent seizures for 2 years+Live
6/14/MCT, MR§Raw snake ingestion 6 years previouslySeizures and left hemiparesis for 4 years++Live
7/39/MMR§UncertainHeadache and seizures for 5 years++Degenerated
8/34/MCTUncertainSeizures, left hemiparesis for 8 years++Live
9/37/FCT, MR§Flesh of frog applied to the skin wound 5 years previouslyHeadache and seizures for 3 years, right hemiparesis for 8 months++Degenerated
10/28/FCTFlesh of snake applied to skin wound 10 years previouslyFocal seizures for 7 years, right hemiparesis for 13 months+Degenerated
11/36/FCT, MR§Contaminated water drinking for 2 yearsHeadache for 3 years, right hemiparesis for 1 year++Live
12/38/MMR§Contaminated water drinking 19 years previouslyGeneralized seizures for 6 years, right hemiparesis for 11 months++Degenerated
13/47/MMR§Flesh of frog applied to abscess on back 13 years previouslyFocal seizures for 8 years, right hemiparesis for 1 year++Degenerated
14/42/MMR§Contaminated water drinking 20 years previouslyHeadache, focal seizures for 3 years+Degenerated worm found
15/83/FMR§Raw frog ingestion 46 years previouslyHeadache for 30 years, right hemiparesis for 15 months++Degenerated
16/45/MMR§Raw snake ingestion 9 years previouslyGeneralized seizures for 6 years+Degenerated
17/41/FMR§Raw frog ingestion 17 years previouslySeizures and right hemiparesis for 7 years+Degenerated
18/43/FMR§Raw snake ingestion 14 years previouslyHeadache, seizures for 9 months++Degenerated
19/38/MMR§Raw frog ingestion 9 years previouslyHeadache, seizures for 4 years;+Degenerated
left hemiparesis for 14 months+Degenerated
20/29/FMR§Frog ingestion for 7 yearsSeizures for 3 years++Degenerated
21/37/MMR§Raw snake ingestion 11 years previouslyHeadache and seizures for 2 years;+Degenerated
right hemiparesis for 15 months++Degenerated
22/48/MMR§Uncooked frog ingestion 7 years previouslyHeadache and seizures for 3 years+None
23/26/FMR§Uncooked snake ingestion 5 years previouslyFocal seizures for 2 years++Degenerated
24/31/FMR§Contaminated water drinking 11 years previouslyHeadache and seizures for 6 years+Degenerated
25/20/MMR§UncertainFocal 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.