Cerebral Sparganosis Presenting as a Tumor Composed of Intra-and Extracranial Components: Case Report

以顱內外腫瘤表現之腦裂頭蚴病：病例報告

劉永輝(Weng-Fai Lao) ； 李進成(Chin-Cheng Lee) ； 蔡明達(Ming-Dar Tsai)

《輔仁醫學期刊》 7卷2期 (2009/06) Pp. 95-101

摘要

腦裂頭蚴病是旱見的腦部寄生蟲感染，多發生於亞洲國家。我們報告一例以顱內外腫瘤來表現的腦裂頭蚴病。因為顱骨磨損造成骨頭空洞的關係，顱內跟顱外的部份是相連結的。這位二十六歲的男性在接受手術把這個腫塊切除，病理檢驗發現此腫塊內有寄生蟲的屍體，根據其特徵，疑是裂頭蚴感染。我們把它在核磁共振及電腦斷層獨特的的表現作詳細的描述。

關鍵字

腦裂頭蚴病 ； 顱骨磨損

並列摘要

Cerebral sparganosis is a rare parasitic infection caused by the larva of Spirometra mansonoides and is generally found in Asian countries. We report a case of sparganosis infection which presented as a cerebral tumor composed of intra- and extracranial components. The 2 components were connected to each other through skull defects caused by bone erosion. This 26-year-old man underwent surgical exploration for the mass. The pathological examination revealed the carcass of the worm with characteristics that suggested sparganum. We describe the unique appearances of magnetic resonance images and computed tomographic scans.

並列關鍵字

sparganosis ； bone erosion