Cerebral Paragonimiasis Presenting with Dementia
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We report a case of an 80-year-old Korean man with chronic cerebral paragonimiasis who presented with progressive memory impairment. He suffered from pulmonary paragonimiasis 60 years ago and has been experiencing epilepsy since the age of 45. He began experiencing memory and cognitive deterioration 3 years ago. He visited the neuropsychiatric department of our hospital to check his symptoms and health from a year ago. Contrast-enhanced brain magnetic resonance imaging study revealed calcifications and cystic lesions encompassing the right temporo-occipital region. Encephalomalatic changes were also observed in the right occipital and temporal areas. The anti-Paragonimus specific IgG antibodies in his serum showed a strong positive response. The neuropsychological test results showed a Global Deterioration Scale of 4 and a Clinical Dementia Rating Scale of 1. The chronic cerebral paragonimiasis lesions in the patient’s right temporo-occipital region might induce the dementic change.
Abstract
We report a case of an 80-year-old Korean man with chronic cerebral paragonimiasis who presented with progressive memory impairment. He suffered from pulmonary paragonimiasis 60 years ago and has been experiencing epilepsy since the age of 45. He began experiencing memory and cognitive deterioration 3 years ago. He visited the neuropsychiatric department of our hospital to check his symptoms and health from a year ago. Contrast-enhanced brain magnetic resonance imaging study revealed calcifications and cystic lesions encompassing the right temporo-occipital region. Encephalomalatic changes were also observed in the right occipital and temporal areas. The anti-Paragonimus specific IgG antibodies in his serum showed a strong positive response. The neuropsychological test results showed a Global Deterioration Scale of 4 and a Clinical Dementia Rating Scale of 1. The chronic cerebral paragonimiasis lesions in the patient’s right temporo-occipital region might induce the dementic change.
참고문헌 (18)
- Jung-Gi Im, "Current diagnostic imaging of pulmonary and cerebral paragonimiasis, with pathological correlation", Seminars in Roentgenology, 32(4), pp.301~324 (1997), Elsevier BV[DOI]
- Zhi Chen, "Acute Cerebral Paragonimiasis Presenting as Hemorrhagic Stroke in a Child", Pediatric Neurology, 39(2), pp.133~136 (2008), Elsevier BV[DOI]
- Supriya Kohli, "Cerebral Paragonimiasis: An Unusual Manifestation of a Rare Parasitic Infection", Pediatric Neurology, 52(3), pp.366~369 (2015), Elsevier BV[DOI]
- Deirdre E. Amaro, "Cerebral Paragonimiasis Presenting with Sudden Death", The American Journal of Tropical Medicine and Hygiene, 95(6), pp.1424~1427 (2016), American Society of Tropical Medicine and Hygiene[DOI]
- TShantikumar Singh, "Cerebral paragonimiasis mimicking tuberculoma: First case report in India", Tropical Parasitology, 1(1), pp.39~41 (2011), Medknow[DOI]
- Kim JG, "Cerebral paragonimiasis : Clinicoradiological features and serodiagnosis using recombinant yolk ferritin", Plos Negl Trp Dis, 16, pp.e0010240~ (2022)
- Jha S, "Dementia as the presenting manifestation of neurocysticercosis : a report of two patients", Neurol Asia, 15, pp.83~87 (2010)
- J Ramirez-Bermudez, "Is dementia reversible in patients with neurocysticercosis?", Journal of Neurology, Neurosurgery & Psychiatry, 76(8), pp.1164~1166 (2005), BMJ[DOI]
- Theresia G, "Pulmonary and extrapulmonary paragonimiasis in 311 cases studies in Korea", Tuberc Respir Dis, 4, pp.117~131 (1957)
- Thomas R. Hawn, "Update on hepatobiliary and pulmonary flukes", Current Infectious Disease Reports, 1(5), pp.427~433 (1999), Springer Science and Business Media LLC[DOI]
- Miyazaki I, "Cerebral paragonimiasis", Contemp Neurol Ser, 12, pp.109~132 (1975)
- Xia Y, "Characteristic CT and MR imaging findings of cerebral paragonimiasis", J Neuroradiol, 43, pp.200~206 (2016)
- Shinichi TOYONAGA, "Cerebral Paragonimiasis —Report of Five Cases—", Neurologia medico-chirurgica, 32(3), pp.157~162 (1992), Japan Neurosurgical Society[DOI]
- Shin-Yong Kang, "A case of chronic cerebral paragonimiasis westermani", The Korean Journal of Parasitology, 38(3), pp.167~ (2000), Korean Society for Parasitology[DOI]
- F. Udaka, "CT finding of cerebral paragonimiasis in the chronic state", Neuroradiology, 30(1), pp.31~34 (1988), Springer Science and Business Media LLC[DOI]
- Marty AM, "Pathology of Infectious Diseases, vol. I, Helminthiases", pp.49~67 (2000), Armed Forces Institute of Pathology
- David Kusner, "Cerebral Paragonimiasis", Seminars in Neurology, 13(02), pp.201~208 (1993), Georg Thieme Verlag KG[DOI]
- Shin Joong Oh, "Paragonimus meningitis", Journal of the Neurological Sciences, 6(3), pp.419~433 (1968), Elsevier BV[DOI]