J Korean Radiol Soc.
1988 Oct;24(5):692-701. 10.3348/jkrs.1988.24.5.692.
Computed tomographic findings of cerebral paragonimiasis
- KMID: 2359199
- DOI: http://doi.org/10.3348/jkrs.1988.24.5.692
Abstract
- Authors analized the CT findings of 19 cases pathologically and clinically proven cerebral paragonimiasis that were perfomed at Cheonnam University Hospital from April 1983 through March 1987. The results were as follows: 1.Male to female ratio was 15:4 and the most prevallent age group was 3rd decade(7 cases). The common symptoms were epileptic seizure (16 cases) and hadache(12 cases). 2. The multiplicity of cerebral paragonimiasis was 7 of 19 cases and the distributions of lesion were occipital(11 cases), temporal(6 cases), frontal (5 cases ) parietal (5cases) lobe. 3. The calcification on CT scan were single (7 cases) or multiple (7 cases) and the shape of calcification were nodular (10 cases), soap babble of ring(8 cases), and stippled (6 cases), The pattern ofcontrast enhancement were ring (5 cases) or nodular(1 case), and along the basal cistern (1 case with arachnoiditis). 4. 12 out of 13 cases, had long clinical symptoms over 3 years with calcifications, could be analized according to Valentine's vascular territory; 6 cases in PCA territory, 3 in MCA and 3 in ACA. 5 CT findings were noted according to the duration of symptoms; 5 cases, had symptoms less than 1 year, showed abscess(5 cases) and arachnoiditis(1 case) with brain edema, mass effect, hydrocephalus and contrast enhancement but nocalcification in all. One case, had symptom of 1 year and 2 months, showed partially calcified granulomatous lesion with perifocal edema and acontrast enhancement, 13 cases, had symptoms over 3 years, showed multiplecalcifications with brain atrophy(10 cases), but no contrast enhancement in all cases.
