뇌간에 발생한 단발성 뇌낭미충증 - 증례보고 -

Solitary Cysticercus Granuloma of the Brainstem - Case Report -

  • 박준오 (고려대학교 의과대학 신경외과학교실) ;
  • 정용구 (고려대학교 의과대학 신경외과학교실) ;
  • 임동준 (고려대학교 의과대학 신경외과학교실) ;
  • 조태형 (고려대학교 의과대학 신경외과학교실) ;
  • 이훈갑 (고려대학교 의과대학 신경외과학교실) ;
  • 이기찬 (고려대학교 의과대학 신경외과학교실) ;
  • 서중근 (고려대학교 의과대학 신경외과학교실)
  • Park, Juno (Department of Neurosurgery, College of Medicine, Korea University) ;
  • Chung, Young-Gu (Department of Neurosurgery, College of Medicine, Korea University) ;
  • Lim, Dong-Jun (Department of Neurosurgery, College of Medicine, Korea University) ;
  • Cho, Tae-Hyong (Department of Neurosurgery, College of Medicine, Korea University) ;
  • Lee, Hoon-Kap (Department of Neurosurgery, College of Medicine, Korea University) ;
  • Lee, Ki-Chan (Department of Neurosurgery, College of Medicine, Korea University) ;
  • Suh, Jung-Keun (Department of Neurosurgery, College of Medicine, Korea University)
  • 투고 : 2000.02.09
  • 심사 : 2000.04.03
  • 발행 : 2000.10.28

초록

Isolated brainstem invlovement of neurocysticercosis is rare. We present the clinical and radiological features of a patient with a solitary cysticercus granuloma in the brainstem confirmed by MRI and CSF ELISA test. Good response was obtained from conservative treatment, using praziquantel. We believe that patients from regions where cysticercosis is endemic, who have no systemic disease, who present with nonprogressive symptoms and signs of brainstem involvement, and display a solitary ring-enhancing mass in the brainstem measuring less than 20mm on neuroimaging may be managed conservatively.

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