A Case of Cerebral Paragonimiasis Combined with a Meningioma - A Case Report -

뇌수막종과 동반된 뇌폐흡충증 - 증례보고 -

  • Kim, Tae Wan (Department of Neurosurgery, Korea Veterans Hospital) ;
  • Lim, Chang Soo (Department of Neurosurgery, Korea Veterans Hospital) ;
  • Park, Sang Moo (Department of Neurosurgery, Korea Veterans Hospital) ;
  • Chi, Moon Pyo (Department of Neurosurgery, Korea Veterans Hospital) ;
  • Kim, Jae O (Department of Neurosurgery, Korea Veterans Hospital) ;
  • Kim, Jung Chul (Department of Neurosurgery, Korea Veterans Hospital)
  • 김태완 (한국보훈병원 신경외과) ;
  • 임창수 (한국보훈병원 신경외과) ;
  • 박상무 (한국보훈병원 신경외과) ;
  • 지문표 (한국보훈병원 신경외과) ;
  • 김재오 (한국보훈병원 신경외과) ;
  • 김정철 (한국보훈병원 신경외과)
  • Received : 1999.06.15
  • Accepted : 2000.03.23
  • Published : 2000.06.28

Abstract

Cerebral paragonimiasis is an important parasitic infestation found in Eastern Asia, West Africa, and Central/South America. It is frequently associated with abscess, granuloma or cystic lesions in chronic stage. Chronic symptoms include seizure, visual disturbance, movement and perception disorders, usually resulting from the spaceoccupying lesions. The authors report a case of chronic cerebral paragonimiasis combined with meningioma. A 69-year-old man presented with generalized seizure and impaired consciousness. CT scan and MR image of the brain revealed two intracranial lesions ; one was cerebral paragonimiasis in the left temporo-occipital lobe, and the other a huge falx meningioma. Two lesions were successfully removed in staged operations and the generalized seizure was controlled after removal of the cerebral paragonimiasis.

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