J Korean Neurosurg Soc.  1979 Sep;8(2):451-456.

A Case of Cerebral Paragonimiasis with Parinaud Syndrome

Affiliations
  • 1Department of Neurosurgery, College of Medicine, Seoul National University, Seoul, Korea.

Abstract

The patient with complaints of seizure, headache and upward gaze paralysis underwent V-P shunt under the impression of pinealoma. The diagnosis of cerebral paragonimiasis was eventually made by the aid of brain CT scan and PW skin test. The case showed a positive intradermal test with relevant histories of eating rare crayfishes and the characteristic CT findings. Plain skull X-ray showed the round calcifications around the pineal region. Brain CT demonstrated multiple round calcifications in the left fronto-occipital region and dilation of the left lateral ventricle with cortical atrophy.


MeSH Terms

Astacoidea
Atrophy
Brain
Diagnosis
Eating
Headache
Humans
Intradermal Tests
Lateral Ventricles
Ocular Motility Disorders*
Paragonimiasis*
Paralysis
Pinealoma
Seizures
Skin Tests
Skull
Tomography, X-Ray Computed
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