Haruzono A, Niiro M, Hirahara K, Asakura T
Department of Neurosurgery, Faculty of Medicine, University of Kagoshima, Japan.
No Shinkei Geka. 1988;16(5 Suppl):603-6.
The authors report a case of sparganosis mansoni cerebri. This 33-year-old man had experienced adversive seizures. Plain CT demonstrated a high density area with surrounding low density area, and homogeneously enhanced with contrast medium in the frontoparietal region. 99TcO4 brain scintigram showed an abnormal hot area. On operating as a cerebral tumor, we had removed a living Sparganum mansoni from the cerebral granuloma. This is the third report in the world to our knowledge of literature, in which alive intracranial Sparaganum mansoni was removed. Sparganosis mansoni cerebri is very rare, and therefore it is very difficult to diagnose exactly before operation. However we should remember this disease considering the life history of the patient with convulsion.
作者报道了1例曼氏裂头蚴性脑裂头蚴病。这名33岁男性曾经历过反向性癫痫发作。普通CT显示额顶叶区域有一个高密度区，其周围为低密度区，增强扫描后呈均匀强化。99锝高锝酸盐脑闪烁扫描显示有一个异常热区。在当作脑肿瘤进行手术时，我们从脑肉芽肿中取出了一条活的曼氏裂头蚴。据我们所知，这是世界上第三例有文献报道的取出活的颅内曼氏裂头蚴的病例。曼氏裂头蚴性脑裂头蚴病非常罕见，因此术前很难准确诊断。然而，考虑到有惊厥症状患者的生活史，我们应该记住这种疾病。
