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We describe the clinical case and radiologic findings in a woman with cerebral sparganosis in which intracerebral hemorrhage was the presenting feature with hemiparesis and dysarthria.CT demonstrated high-density lesions in the right frontoparietal area,suggesting a hematoma.With conservative management,hemiparesis improved and follow-up CT revealed what looked like a resolving hematoma.Two weeks later,she complained once again of aggravated left hemiparesis and facial weakness.Diagnosis of sparganosis was made on the basis of brain MRI and ELISA.Stereotactic surgery was performed,and a live larva of sparganum was successfully removed. |
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brain biopsy
CAT scan
CAT scan,abnormal
central nervous system,infection of
ELISA
helminthic infection of CNS
hemiparesis
intracerebral hemorrhage
MRI
MRI,abnormal
MRI,contrast enhanced
MRI,ring sign
parasitic infection,CNS
sparganosis
sparganosis,cerebral
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