Tags

Type your tag names separated by a space and hit enter

Cerebral paragonimiasis in early active stage: CT and MR features.
AJR Am J Roentgenol. 1994 Jan; 162(1):141-5.AA

Abstract

OBJECTIVE

Diagnosis of cerebral paragonimiasis in its early active stage is important because curative chemotherapy is possible. Accordingly, this study was undertaken to evaluate the CT and MR features of early active cerebral paragonimiasis.

MATERIALS AND METHODS

We retrospectively reviewed the CT scans (n = 29) and MR images (n = 7) of the brain in 20 patients between 7 and 59 years old who had cerebral paragonimiasis in the early active stage. The diagnosis was based on a positive antibody test by enzyme-linked immunosorbent assay (ELISA) for paragonimiasis in serum and CSF. The diagnosis was confirmed surgically in seven patients.

RESULTS

The most common and characteristic imaging finding was a conglomerate of ringlike enhancing lesions (grape-cluster appearance) with surrounding edema in one cerebral hemisphere in 11 patients (55%). Other nonspecific findings included a solitary ringlike lesion (n = 4) or irregular enhancing lesions (n = 2), localized hemorrhage with (n = 3) or without (n = 2) enhancing lesions, and a poorly defined non-hemorrhagic, nonenhancing lesion (n = 1).

CONCLUSION

CT and MR findings of clustered ring-enhancing lesions, seen in approximately half of the cases of early cerebral paragonimiasis, are suggestive of cerebral paragonimiasis.

Authors+Show Affiliations

Department of Diagnostic Radiology, Seoul National University Hospital, Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

8273653

Citation

Cha, S H., et al. "Cerebral Paragonimiasis in Early Active Stage: CT and MR Features." AJR. American Journal of Roentgenology, vol. 162, no. 1, 1994, pp. 141-5.
Cha SH, Chang KH, Cho SY, et al. Cerebral paragonimiasis in early active stage: CT and MR features. AJR Am J Roentgenol. 1994;162(1):141-5.
Cha, S. H., Chang, K. H., Cho, S. Y., Han, M. H., Kong, Y., Suh, D. C., Choi, C. G., Kang, H. K., & Kim, M. S. (1994). Cerebral paragonimiasis in early active stage: CT and MR features. AJR. American Journal of Roentgenology, 162(1), 141-5.
Cha SH, et al. Cerebral Paragonimiasis in Early Active Stage: CT and MR Features. AJR Am J Roentgenol. 1994;162(1):141-5. PubMed PMID: 8273653.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cerebral paragonimiasis in early active stage: CT and MR features. AU - Cha,S H, AU - Chang,K H, AU - Cho,S Y, AU - Han,M H, AU - Kong,Y, AU - Suh,D C, AU - Choi,C G, AU - Kang,H K, AU - Kim,M S, PY - 1994/1/1/pubmed PY - 1994/1/1/medline PY - 1994/1/1/entrez SP - 141 EP - 5 JF - AJR. American journal of roentgenology JO - AJR Am J Roentgenol VL - 162 IS - 1 N2 - OBJECTIVE: Diagnosis of cerebral paragonimiasis in its early active stage is important because curative chemotherapy is possible. Accordingly, this study was undertaken to evaluate the CT and MR features of early active cerebral paragonimiasis. MATERIALS AND METHODS: We retrospectively reviewed the CT scans (n = 29) and MR images (n = 7) of the brain in 20 patients between 7 and 59 years old who had cerebral paragonimiasis in the early active stage. The diagnosis was based on a positive antibody test by enzyme-linked immunosorbent assay (ELISA) for paragonimiasis in serum and CSF. The diagnosis was confirmed surgically in seven patients. RESULTS: The most common and characteristic imaging finding was a conglomerate of ringlike enhancing lesions (grape-cluster appearance) with surrounding edema in one cerebral hemisphere in 11 patients (55%). Other nonspecific findings included a solitary ringlike lesion (n = 4) or irregular enhancing lesions (n = 2), localized hemorrhage with (n = 3) or without (n = 2) enhancing lesions, and a poorly defined non-hemorrhagic, nonenhancing lesion (n = 1). CONCLUSION: CT and MR findings of clustered ring-enhancing lesions, seen in approximately half of the cases of early cerebral paragonimiasis, are suggestive of cerebral paragonimiasis. SN - 0361-803X UR - https://www.unboundmedicine.com/medline/citation/8273653/Cerebral_paragonimiasis_in_early_active_stage:_CT_and_MR_features_ L2 - http://www.ajronline.org/doi/full/10.2214/ajr.162.1.8273653 DB - PRIME DP - Unbound Medicine ER -