Ultrasound-assisted neuronavigation-guided removal of a live worm in cerebral sparganosis.

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Ultrasound-assisted neuronavigation-guided removal of a live worm in cerebral sparganosis.

World Neurosurg. 2017 Mar 15;:

Authors: Nkwerem S, Goto T, Ogiwara T, Yamamoto Y, Hongo K, Ohaegbulam S

Abstract
BACKGROUND: Cerebral sparganosis is a rare zoonotic infestation which often mimics glioma and metastatic tumors.
CASE DESCRIPTION: A case of 71-year-old man who presented with disturbing dysarthria. Initial neuroimages were suggestive of glioma. The histology was, however, suggestive of inflammatory lesion. Follow-up neuroimages and serology were suggestive of sparganosis. He subsequently had craniotomy with ultrasound-guided aspiration of a live worm. Saline soaked surgicel was used to provide an acoustic window.
CONCLUSION: Ultrasound was very helpful in the intraoperative localization of the worm, and is recommended where intraoperative MR is not readily available.

PMID: 28315796 [PubMed - as supplied by publisher]

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