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Li et al. Neuroimmunol Neuroinflammation 2017;4:238-42           Neuroimmunology and
           DOI: 10.20517/2347-8659.2017.16
                                                                                  Neuroinflammation

                                                                                                www.nnjournal.net
            Case Report                                                                         Open Access

           Sparganosis of the brain: a case report and

           brief review



           Hai-Xia Li , Shi-Hai Luan , Wei Guo , Ling-Yang Hua , Hong-Da Zhu , Jiao-Jiao Deng , Hai-Liang Tang ,
                                 2*
                   1*
                                                                                                  2
                                                                     2
                                                                                    2
                                          3
                                                        2
           Xian-Cheng Chen , Qing Xie , Ye Gong 2,4
                                    2
                          2
           1 Department of Pathology, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai 200040, China.
           2 Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai 200040, China.
           3 Department of Neurosurgery, The Third People’s Hospital of Shijiazhuang, Shijiazhuang 050011, Hebei, China.
           4 Department of Critical Medicine, Huashan Hospital, Shanghai Medical College, Fudan University, Shanghai 200040, China.
           *Authors contributed equally to this manuscript.
           Correspondence to: Dr. Ye Gong, Department of Neurosurgery, Huashan Hospital, Shanghai Medical College, Fudan University, #12 Middle
           Wulumuqi Road, Jingan District, Shanghai 200040, China. E-mail: drgongye@163.com
           How to cite this article: Li HX, Luan SH, Guo W, Hua LY, Zhu HD, Deng JJ, Tang HL, Chen XC, Xie Q, Gong Y. Sparganosis of the brain: a case
           report and brief review. Neuroimmunol Neuroinflammation 2017;4:238-42.
                                         ABSTRACT
            Article history:              Human sparganosis is a rare disease often affecting muscle, subcutaneous tissue and other
            Received: 22 Mar 2017         locations, but sparganosis invading the brain is rather rare. Cerebral sparganosis has no
            First Decision: 10 Apr 2017   specific symptoms which makes the diagnosis quite difficult and is usually neglected in the
            Revised: 19 Jun 2017          clinic. Here the authors reported a case of a 29-year-old female who was diagnosed with
            Accepted: 20 Jun 2017         cerebral sparganosis and underwent surgery in their department and a brief review of the
            Published: 20 Nov 2017        literature was conducted as well.
            Key words:
            Cerebral sparganosis,
            clinical pathological,
            epidemiology

           INTRODUCTION                                       untreated water containing spirometra larvae,
                                                              consumption of undercooked frog or snake meat,
           Human sparganosis is a rare but increasing emerging   or using raw flesh on open wounds as traditional
           food borne zoonosis caused by the plerocercoid     poultices [3-7] . Sporadic human sparganosis has been
           larvae. The genus spirometra constitutes several   documented worldwide, but the prevalence is higher
           species including S mansonoides, one of the most   in Asia countries, especially in China, Thailand, Japan
           commonly reported human sparganosis infections     and South Korea [3,5,8,9] . The most common target places
                 [1]
           in Asia . The lifecycle of spirometra starts with adult   in humans for spirometra are subcutaneous tissue
           worms living in the intestines of dogs and cats and   or muscle [10] , cerebral sparganosis is relatively rare
                                                                                               [11]
           eggs shed in faeces in the environment, while frogs   but represents the most severe type , characterized
           and snakes usually serve as second intermediate    by symptoms like seizures and the wandering sign
           hosts . Humans are mainly infected through drinking   in magnetic resonance imaging (MRI) scanning [12] .
                [2]
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