만성 대뇌폐흡충증 환자에서 지연성으로 발생한 부분뇌전증지속증
Epilepsia Partialis Continua as Late Sequelae in Chronic Cerebral Paragonimiasis
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초록
Paragonimiasis is a parasitic infection that occurs after ingesting freshwater crayfish or crabs, and Paragonimus westermani (P. westermani) species are the most important in clinical practice. Cerebral paragonimiasis is one of the most important extra-pulmonary forms with severe outcomes and higher mortality compared to the pulmonary forms. Epilepsia partialis continua (EPC) is defined as a variant of focal motor status epilepticus in which frequent repetitive muscle jerks, usually arrhythmic, continue over 1 hour. Cerebral infections of P. westermani often cause simple epileptic seizures, but cases progressing to EPC are very rare. The authors report a case of confirming and treating a newly developed recurrent focal onset seizures in a patient with chronic cerebral paragonimiasis treated over 30 years ago.
Abstract
Paragonimiasis is a parasitic infection that occurs after ingesting freshwater crayfish or crabs, and Paragonimus westermani (P. westermani) species are the most important in clinical practice. Cerebral paragonimiasis is one of the most important extra-pulmonary forms with severe outcomes and higher mortality compared to the pulmonary forms. Epilepsia partialis continua (EPC) is defined as a variant of focal motor status epilepticus in which frequent repetitive muscle jerks, usually arrhythmic, continue over 1 hour. Cerebral infections of P. westermani often cause simple epileptic seizures, but cases progressing to EPC are very rare. The authors report a case of confirming and treating a newly developed recurrent focal onset seizures in a patient with chronic cerebral paragonimiasis treated over 30 years ago.
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