title: Cerebral sparganosis in a child.
abstract: Cerebral sparganosis in childhood is very rare. Until 1996, 2 cases in children up to 15 years of age had been described. We report a case of cerebral sparganosis in a 6-year-old girl who presented with seizures. Sequential brain magnetic resonance imaging scans spaced over 4 months showed a lesion which migrated from the right parieto-occipital region to the right occipital region. The enzyme-linked immunosorbent assay for antisparganum antibody was positive. She most likely contracted sparganosis from worm-infested spring-water. A live worm with surrounding granulomatous tissue was removed, and the enzyme-linked immunosorbent assay for antisparganum antibody converted to negative 12 months following surgery. In areas of endemic sparganosis, the possibility of cerebral sparganosis should be considered, even in a child, if the patient shows a migrating granulomatous lesion.
authors.affiliation: Division of Pediatric Neurosurgery, Seoul National University Children's Hospital, South Korea.
authors.forename: C Y
authors.initials: CY
authors.lastname: Kim
authors.forename: B K
authors.initials: BK
authors.lastname: Cho
authors.forename: I O
authors.initials: IO
authors.lastname: Kim
authors.forename: Y S
authors.initials: YS
authors.lastname: Hwang
authors.forename: K C
authors.initials: KC
authors.lastname: Wang
mesh_terms: D001927:Brain Diseases / Q000150:complications / Q000175:diagnosis / Q000469:parasitology*; D002648:Child; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012640:Seizures / Q000469:parasitology; D013031:Sparganosis / Q000150:complications / Q000175:diagnosis / Q000635:transmission