A Case of Cerebral Sparganosis Involving Bilateral Cerebral Hemispheres

Cerebral sparganosis is a rare parasitic CNS disease. Recently we have experienced a case of sparganosis involving bilateral cerebral hemispheres. The brain CT scan and MRI with administration of the contrast material demonstrated an intensely enhanced lesion in the left parietal area, and low density lesions in the right parieto-occipital area and left occipital area with cerebromalacia. The titer of the anti-spargasnum IgG antibody in serum and CSF was high. The parasitic granulation capsule and inflammatory tissue were removed from the left parietal area using the Cosman-Roberts-Wels stereotactic guide.