Departments of 1 Neurosurgery and.
Pathology, All India Institute of Medical Sciences, Saket Nagar, Bhopal, Madhya Pradesh, India.
J Neurosurg. 2017 Sep;127(3):691-693. doi: 10.3171/2016.9.JNS161092. Epub 2016 Dec 23.
Filariasis, an endemic zoonosis in the Southeast Asia region, has been reported to affect various organs as well as the central nervous system (CNS). Inflammatory reactions mimicking those from neoplastic lesions clinically and radiologically have been reported in the breast and urinary bladder. To date, a CNS manifestation of filarial infestation has been reported in the form of meningoencephalitis. The authors here present an interesting case of a young man presenting in status epilepticus, which on radiological evaluation appeared to be a glioma. However, postoperative histopathological examination changed the provisional diagnosis to a filarial infection of the CNS mimicking a primary CNS neoplasm.
丝虫病是东南亚地区的一种地方性动物传染病,据报道可影响多种器官以及中枢神经系统(CNS)。在乳房和膀胱中,已经报道了具有临床和放射学类似肿瘤病变的炎症反应。迄今为止,丝虫感染的中枢神经系统表现形式为脑膜脑炎。作者在此介绍了一个有趣的年轻男性病例,他表现为癫痫持续状态,影像学评估似乎为神经胶质瘤。然而,术后组织病理学检查改变了初步诊断,认为这是一种中枢神经系统丝虫感染,类似于原发性中枢神经系统肿瘤。