Hwang Yang-Ha, Son Wonsoo, Kim Yong-Won, Kang Dong-Hun, Chang Hyun-Ha, Goo Youn-Kyoung, Hong Yeonchul, Chung Dong-Il
Department of Neurology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu 41944, Korea.
Department of Neurosurgery, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu 41944, Korea.
Korean J Parasitol. 2020 Jun;58(3):309-313. doi: 10.3347/kjp.2020.58.3.309. Epub 2020 Jun 26.
Human sparganosis is a zoonotic disease caused by infection and migration of the plerocercoid of Spirometra spp. Although sparganosis were reported from most parts of the body, the sparganum parasitizing inside cerebral artery is remarkably uncommon. We report a case of cerebral intravascular sparganosis in an elderly patient with acute ischemic stroke who was diagnosed by retrieving sparganum during mechanical thrombectomy. Finally, the parasites were identified as Spirometra erinaceieuropaei using multiplex PCR and cox1 gene sequencing.
人体裂头蚴病是一种由裂头绦虫属的裂头蚴感染和移行引起的人畜共患病。尽管在身体的大部分部位都有裂头蚴病的报道,但寄生在脑动脉内的裂头蚴极为罕见。我们报告了一例老年急性缺血性卒中患者的脑内血管裂头蚴病病例,该病例在机械取栓过程中通过取出裂头蚴得以确诊。最后,利用多重PCR和细胞色素c氧化酶亚基1(cox1)基因测序将寄生虫鉴定为猬迭宫绦虫。