In our study, 8 out of 14 patients were diagnosed by histopathology (3 from surgical resection and 5 from stereotactic biopsy). The diagnosis was proved by an ELISA test for sparganosis in 6 patients. IgG results were positive in both serum and CSF in 5 patients and positive in serum in 1 patient.
The ELISA tests for other parasitic disease including gnathostomiasis, angiostrongyliasis, toxoplasmosis, trichinosis, hydatidosis, schistosomiasis, clonorchiasis, paragonimiasis, and cysticercosis were all negative in our patients. Gnathostomiasis is endemic in Thailand but rare in China. Therefore, the possibility of co-occurrence of other migrating cerebral parasitic disease is very low.
- © 2012 by American Journal of Neuroradiology