Open AccessRecurrent cerebral larva migrans: A case report and review of literature
Author(s) -
P. M. Jagannath,
N. K. Venkataramana,
Shailesh A. V. Rao,
Arun L Naik,
S. K. Shivakumar,
Anvesh Saktepar,
Raghuram Gopalakrishnan,
S K Shankar
Publication year - 2009
Publication title -
journal of pediatric neurosciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.247
H-Index - 18
eISSN - 1998-3948
pISSN - 1817-1745
DOI - 10.4103/1817-1745.49107
Subject(s) - medicine , lesion , larva migrans , toxocariasis , hemiparesis , girl , dermatology , surgery , pathology , helminthiasis , psychology , developmental psychology , immunology , helminths
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.