Yi Dong, Qiang Dong, Wenjie Cao
The Department of Neurology, Huashan Hospital, Fudan University, No, 12 Wulumuqi Zhong Rd,, 200040 Shanghai, P,R, China.
J Med Case Rep. 2014 Feb 5;8:36. doi: 10.1186/1752-1947-8-36.
The most serious erratic migration of paragonimiasis is a cerebral paragonimiasis. Infection in the temporal and occipital lobes of the brain has been previously reported in cerebral paragonimiasis. Here, we report a case of chronic brainstem paragonimiasis.
A 29-year-old Chinese woman presented to our hospital complaining of a sudden onset, three days previously, of double vision and dizziness. A computed tomography scan and diffusion-weighted images looked like an ischemic stroke. However, conglomerates of multiple ring-like enhancements on contrast magnetic resonance imaging, and the characteristic appearance of the 'tunnel sign', were found on further examination. Our patient was treated with praziquantel to prevent the spread of the paragonimiasis. She was followed up three months later and showed good recovery.
Conglomerates of multiple ring-like enhancements on contrast magnetic resonance imaging and the characteristic appearance of the 'tunnel sign' were important for the diagnosis of chronic brainstem paragonimiasis.
肺吸虫病最严重的游走病变是脑型肺吸虫病。此前有报道称脑型肺吸虫病可感染脑颞叶和枕叶。在此，我们报告一例慢性脑干肺吸虫病病例。
一名29岁中国女性因三天前突然出现复视和头晕前来我院就诊。计算机断层扫描和弥散加权成像看起来像是缺血性中风。然而，进一步检查发现对比增强磁共振成像上有多个环形强化灶聚集，以及特征性的“隧道征”表现。我们的患者接受了吡喹酮治疗以防止肺吸虫病扩散。三个月后对她进行随访，结果显示恢复良好。
对比增强磁共振成像上多个环形强化灶聚集以及特征性的“隧道征”表现对慢性脑干肺吸虫病的诊断很重要。
