J Korean Neurol Assoc.  2024 Nov;42(4):392-396. 10.17340/jkna.2024.0025.

Epilepsia Partialis Continua as Late Sequelae in Chronic Cerebral Paragonimiasis

• Gil SD
• Kwon OD

• KMID: 2561001
• DOI: http://doi.org/10.17340/jkna.2024.0025

Abstract

Paragonimiasis is a parasitic infection that occurs after ingesting freshwater crayfish or crabs, and Paragonimus westermani (P. westermani) species are the most important in clinical practice. Cerebral paragonimiasis is one of the most important extra-pulmonary forms with severe outcomes and higher mortality compared to the pulmonary forms. Epilepsia partialis continua (EPC) is defined as a variant of focal motor status epilepticus in which frequent repetitive muscle jerks, usually arrhythmic, continue over 1 hour. Cerebral infections of P. westermani often cause simple epileptic seizures, but cases progressing to EPC are very rare. The authors report a case of confirming and treating a newly developed recurrent focal onset seizures in a patient with chronic cerebral paragonimiasis treated over 30 years ago.

Keyword

Cerebral paragonimiasis; Epilepsia partialis continua