Jagannath P M, Venkataramana N K, Rao Shailesh A V, Naik Arun L, Shivakumar S K, Saktepar Anvesh, Gopalakrishnan Raghuram, Shankar S K
Department of Neurosurgery, BGS Global Neuroscience Institute, BGS Global Hospital, Bangalore - 560 060, India.
J Pediatr Neurosci. 2009 Jan;4(1):36-40. doi: 10.4103/1817-1745.49107.
Cerebral larva migrans (CLM) is an uncommon and rarely diagnosed entity. We report here a histopathologically proven case of CLM in a 13 year-old girl, who presented with bilateral focal seizures, right hemiparesis, and lapsed into altered sensorium prior to admission. Her CT scan was suggestive of a granulomatous lesion which eventually turned out to be CLM (toxocariasis). Interestingly, the lesion recurred after excision, with a confusing clinical picture. Following the second surgery, the pathology was reconfirmed and cure was provided for the disease. There has been no further intracranial recurrence during the past ten years although she developed cutaneous lesions.
脑幼虫移行症（CLM）是一种罕见且很少被诊断出来的病症。我们在此报告一例经组织病理学证实的13岁女孩脑幼虫移行症病例，该女孩出现双侧局灶性癫痫发作、右侧偏瘫，并在入院前陷入意识改变状态。她的CT扫描显示有一个肉芽肿性病变，最终证实为脑幼虫移行症（弓蛔虫病）。有趣的是，病变在切除后复发，临床表现令人困惑。第二次手术后，病理再次得到证实，疾病得以治愈。在过去十年中，尽管她出现了皮肤病变，但颅内没有进一步复发。
