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01.12.2014 | Case report | Ausgabe 1/2014 Open Access

Journal of Medical Case Reports 1/2014

Neuroimaging findings in a woman with brainstem paragonimiasis: a case report and review of the literature

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2014
Autoren:
Dong Yi, Dong Qiang, Cao Wenjie
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-8-36) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

DY analyzed and interpreted the patient data and was a major contributor in writing the manuscript. CWJ performed the neuroimaging explanation of the cerebral lesions and helped to interpret the patient data. DQ designed and organized the study. All authors have read and approved the final manuscript.

Abstract

Introduction

The most serious erratic migration of paragonimiasis is a cerebral paragonimiasis. Infection in the temporal and occipital lobes of the brain has been previously reported in cerebral paragonimiasis. Here, we report a case of chronic brainstem paragonimiasis.

Case presentation

A 29-year-old Chinese woman presented to our hospital complaining of a sudden onset, three days previously, of double vision and dizziness. A computed tomography scan and diffusion-weighted images looked like an ischemic stroke. However, conglomerates of multiple ring-like enhancements on contrast magnetic resonance imaging, and the characteristic appearance of the ‘tunnel sign’, were found on further examination. Our patient was treated with praziquantel to prevent the spread of the paragonimiasis. She was followed up three months later and showed good recovery.

Conclusions

Conglomerates of multiple ring-like enhancements on contrast magnetic resonance imaging and the characteristic appearance of the ‘tunnel sign’ were important for the diagnosis of chronic brainstem paragonimiasis.

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Zusatzmaterial
Authors’ original file for figure 1
13256_2013_2679_MOESM1_ESM.tif
Authors’ original file for figure 2
13256_2013_2679_MOESM2_ESM.tif
Literatur
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