RT Journal Article
SR Electronic
T1 MR Imaging Findings in Cerebrospinal Gnathostomiasis
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 446
OP 449
VO 25
IS 3
A1 Kittisak Sawanyawisuth
A1 Somsak Tiamkao
A1 Jaturat Kanpittaya
A1 Paron Dekumyoy
A1 Suthipun Jitpimolmard
YR 2004
UL http://www.ajnr.org/content/25/3/446.abstract
AB Summary: Human gnathostomiasis is an infection caused mainly by Gnathostoma spinigerum, a nematode. Infected humans can present with various clinical manifestations. Serology is the criterion standard for diagnosing gnathostomiasis, whereas MR imaging represents a complementary tool for assessing severity and extent of disease. We report two definite cases of gnathostomiasis that were confirmed by the immunoblotting technique. MR imaging of the cervical cords showed cord enlargement and diffuse high signal intensity, mainly of the gray-white matter regions. MR imaging of the brain showed hemorrhagic tract and scattered deep intracerebral hemorrhage with diffuse, fuzzy white matter lesions with nodular enhancement. Severe gnathostomiasis was unresponsive to treatment.