caa a22 4500 606216014 CHVBK 20210128101101.0 cr unu---uuuuu 210128e20150801xx s 000 0 eng 10.1007/s00701-015-2466-9 doi (NATIONALLICENCE)springer-10.1007/s00701-015-2466-9 Cerebral sparganosis: case report and review of the European cases [Elektronische Daten] [Anna Lo Presti, Daniel Aguirre, Pablo De Andrés, Lina Daoud, José Fortes, Jesús Muñiz] Sparganosis is a severe parasitic infection caused by the larvae of Spirometra mansoni, also called "sparganum.” In human hosts, the Spirometra mansoni larva commonly targets the subcutaneous tissue or muscle. Sometimes it can also migrate into the brain, resulting in cerebral sparganosis, mainly characterized by focal neurological symptoms such as seizures and radiological "wandering lesions” on magnetic resonance images (MRIs). Clinical cases of cerebral sparganosis have been reported worldwide, mainly in Asian countries, but also in North America, South America and Australia. Only two cases have been previously reported in Europe. A 29-year-old male from Bolivia, who lived in Spain, presented to our service for seizures and a multicystic brain lesion, initially suspected to be a dysembryoplastic neuroepithelial tumor (DNET). He underwent gross total resection of the mixed solid/cystic lesion. Pathology revealed gliosis, multiple interconnected cystic cavities with fibrous walls, inflammatory cell infiltration and no necrotizing granulomatous reaction. Inside the cavities, a parasitic form was identified as the larva of the cestode Spirometra mansoni. At 1-year follow-up, the patient had no deficits and was seizure free. Clinicians should be alerted to the possible existence of this rare entity in Europe, especially in patients from endemic areas with a possible infection history as well as "wandering lesions” on the MRI. Springer-Verlag Wien, 2015 Human sparganosis nationallicence Cerebral sparganosis nationallicence Europe nationallicence Stereotactic aspiration nationallicence Praziquantel nationallicence Lo Presti Anna Department of Neurosurgery, Fundación Jiménez Díaz (IIS-FJD), Autonomous University, Av. Reyes Católicos 2, 28040, Madrid, Spain aut Aguirre Daniel Department of Neurosurgery, Fundación Jiménez Díaz (IIS-FJD), Autonomous University, Av. Reyes Católicos 2, 28040, Madrid, Spain aut De Andrés Pablo Department of Neurosurgery, Fundación Jiménez Díaz (IIS-FJD), Autonomous University, Av. Reyes Católicos 2, 28040, Madrid, Spain aut Daoud Lina Department of Pathology, Fundación Jiménez Díaz (IIS-FJD), Autonomous University, Madrid, Spain aut Fortes José Department of Pathology, Fundación Jiménez Díaz (IIS-FJD), Autonomous University, Madrid, Spain aut Muñiz Jesús Department of Neurosurgery, Fundación Jiménez Díaz (IIS-FJD), Autonomous University, Av. Reyes Católicos 2, 28040, Madrid, Spain aut Acta Neurochirurgica Springer Vienna 157/8(2015-08-01), 1339-1343 0001-6268 157:8<1339 2015 157 701 https://doi.org/10.1007/s00701-015-2466-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 brief-communication jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00701-015-2466-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lo Presti Anna Department of Neurosurgery, Fundación Jiménez Díaz (IIS-FJD), Autonomous University, Av. Reyes Católicos 2, 28040, Madrid, Spain aut NATIONALLICENCE 700 1- Aguirre Daniel Department of Neurosurgery, Fundación Jiménez Díaz (IIS-FJD), Autonomous University, Av. Reyes Católicos 2, 28040, Madrid, Spain aut NATIONALLICENCE 700 1- De Andrés Pablo Department of Neurosurgery, Fundación Jiménez Díaz (IIS-FJD), Autonomous University, Av. Reyes Católicos 2, 28040, Madrid, Spain aut NATIONALLICENCE 700 1- Daoud Lina Department of Pathology, Fundación Jiménez Díaz (IIS-FJD), Autonomous University, Madrid, Spain aut NATIONALLICENCE 700 1- Fortes José Department of Pathology, Fundación Jiménez Díaz (IIS-FJD), Autonomous University, Madrid, Spain aut NATIONALLICENCE 700 1- Muñiz Jesús Department of Neurosurgery, Fundación Jiménez Díaz (IIS-FJD), Autonomous University, Av. Reyes Católicos 2, 28040, Madrid, Spain aut NATIONALLICENCE 773 0- Acta Neurochirurgica Springer Vienna 157/8(2015-08-01), 1339-1343 0001-6268 157:8<1339 2015 157 701