World neurosurgery · 2017
Ultrasound-Assisted Neuronavigation-Guided Removal of a Live Worm in Cerebral Sparganosis.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Nkwerem Sunday, Goto Tetsuya, Ogiwara Toshihiro, Yamamoto Yasunaga, Hongo Kazuhiro, Ohaegbulam Samuel
Аннотация
BACKGROUND: Cerebral sparganosis is a rare zoonotic infestation that often mimics glioma and metastatic tumors.
CASE DESCRIPTION: A 71-year-old man presented with disturbing dysarthria. Initial neuroimages were suggestive of glioma. However, the histology was suggestive of inflammatory lesion. Follow-up neuroimages and serology were suggestive of sparganosis. He subsequently had craniotomy with ultrasound-guided aspiration of a live worm. Saline-soaked Surgicel was used to provide an acoustic window.
CONCLUSIONS: Ultrasonography was helpful in the intraoperative localization of the worm and is recommended when intraoperative magnetic resonance is not readily available.
CASE DESCRIPTION: A 71-year-old man presented with disturbing dysarthria. Initial neuroimages were suggestive of glioma. However, the histology was suggestive of inflammatory lesion. Follow-up neuroimages and serology were suggestive of sparganosis. He subsequently had craniotomy with ultrasound-guided aspiration of a live worm. Saline-soaked Surgicel was used to provide an acoustic window.
CONCLUSIONS: Ultrasonography was helpful in the intraoperative localization of the worm and is recommended when intraoperative magnetic resonance is not readily available.