Recurrent cerebral larva migrans: A case report and review of literature

Cerebral larva migrans (CLM) is an uncommon and rarely diagnosed entity. We report here a histopathologically proven case of CLM in a 13 year-old girl, who presented with bilateral focal seizures, right hemiparesis, and lapsed into altered sensorium prior to admission. Her CT scan was suggestive of...

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Bibliographic Details
Published inJournal of pediatric neurosciences Vol. 4; no. 1; pp. 36 - 40
Main Authors Jagannath, P M, Venkataramana, N K, Rao, Shailesh A V, Naik, Arun L, Shivakumar, S K, Saktepar, Anvesh, Gopalakrishnan, Raghuram, Shankar, S K
Format Journal Article
LanguageEnglish
Published India Medknow Publications and Media Pvt. Ltd 01.01.2009
Medknow Publications & Media Pvt. Ltd
Medknow Publications
Subjects
Care and treatment
Case Report
Case studies
Cerebrovascular disease
Corticosteroids
CT imaging
Diagnosis
Dosage and administration
Health aspects
Medical imaging
NMR
Nuclear magnetic resonance
Parasites
Patient outcomes
Risk factors
Surgery
India
zoonoses
cutaneous lesions
Cerebral toxocariasis
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Summary:Cerebral larva migrans (CLM) is an uncommon and rarely diagnosed entity. We report here a histopathologically proven case of CLM in a 13 year-old girl, who presented with bilateral focal seizures, right hemiparesis, and lapsed into altered sensorium prior to admission. Her CT scan was suggestive of a granulomatous lesion which eventually turned out to be CLM (toxocariasis). Interestingly, the lesion recurred after excision, with a confusing clinical picture. Following the second surgery, the pathology was reconfirmed and cure was provided for the disease. There has been no further intracranial recurrence during the past ten years although she developed cutaneous lesions.
ISSN:1817-1745
1998-3948
DOI:10.4103/1817-1745.49107