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J Korean Neurol Assoc. 1999;17(5):777-779.
- A Case of Cerebral Sparganosis :
Technetium-99m-ECD Brain SPECT experience
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Sang Won Han, M.D., Dong Chul Park, M.D., Byung In Lee, M.D.
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Department of Neurology, College of Medicine, Yonsei University
- 뇌스파르가눔증 1예 : Tc-99m-ECD 뇌혈류 SPECT 경험
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한상원, 박동철 이병인
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연세대학교 의과대학 신경과학교실
- Abstract
- Cerebral sparganosis is a rare intracranial parasitic infectious disease. The best treatment seems to be the surgical
removal of the worm and granuloma. However, it has not been proved possible to determine whether the worm is dead
or alive by a single Brain CT or MRI findings. We report clinical and technetium-99m-ethyl cysteinate dimer (99mTc-ECD)
cerebral perfusion SPECT findings in a case with 57-year-old cerebral sparganosis patient. During 3 years of fol-low-
up, the patient did not have any newly developed neurological signs. Follow-up serum/CSF ELISA tests for
sparganosis were positive and the worm was presumed to be in a dormant stage. Cerebral perfusion SPECT showed an
irregular shaped area with decreased 99mTc-ECD uptake. The brain SPECT findings in our patient could not be exactly
explained with the worm ’s natural history. However, the brain SPECT may be helpful in determining the treatment of
newly diagnosed cerebral sparganosis patients.
J Kor Neurol Ass 17(5):777~779, 1999
Key Words : Cerebral sparganosis, Diagnosis, SPECT
Keywords :
- 초록
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