AJDRAJNR - American Journal of Neuroradiology

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MR Imaging Findings in Cerebrospinal Gnathostomiasis

Kittisak Sawanyawisutha, Somsak Tiamkaoa, Jaturat Kanpittayab, Paron Dekumyoyc and Suthipun Jitpimolmarda

a Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
b Department of Radiology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
c Department of Helminthology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand



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FIG 1. Case 1. MR images of spinal cord and brain.

A and B, Sagittal T2-weighted images, showing diffuse cord enlargement with abnormal high signal intensities.

C, Axial T1-weighted image, showing hemorrhagic spot at posterior midpons.

D, Coronal T1-weighted postgadolinium image, showing hemorrhagic tract at posterior midpons level.



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FIG 2. Case 2. MR images of cervical cord and brain.

A, Sagittal T2-weighted image, showing diffuse cord enlargement with ill-defined area of increased signal intensity.

B, Axial T2-weighted image, showing hyperintense lesion within central gray matter.

C, Axial T2-weighted image, showing fuzzy hyperintense lesion at both periventricular white matter regions.

D, Axial T1-weighted image, showing intracerebral hemorrhage at right caudate nucleus and posterior part of basal ganglia.

E, Axial T1-weighted postgadolinium image, showing scattered tiny nodular enhancement at both frontoparietal regions.