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Journal of Korean Neurosurgical Society 1979;8(2): 451-456.
A Case of Cerebral Paragonimiasis with Parinaud Syndrome.
Sung Nam Hwang, Whan Eo, Byung Kyu Cho, Bo Sung Sim
Department of Neurosurgery, College of Medicine, Seoul National University, Seoul, Korea.
ABSTRACT
The patient with complaints of seizure, headache and upward gaze paralysis underwent V-P shunt under the impression of pinealoma. The diagnosis of cerebral paragonimiasis was eventually made by the aid of brain CT scan and PW skin test. The case showed a positive intradermal test with relevant histories of eating rare crayfishes and the characteristic CT findings. Plain skull X-ray showed the round calcifications around the pineal region. Brain CT demonstrated multiple round calcifications in the left fronto-occipital region and dilation of the left lateral ventricle with cortical atrophy.
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