2008 issue 4

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Volume 17, issue 4

Case report

Echinococcosis of central nervous system - diagnostic difficulties: two case reports

Anna Bochyńska1, Jadwiga Strojanowska-Malicka1, Wanda Lipczyńska-Łojkowska1, Mirosława Derejko1, Maria Bielawska2, Danuta Ryglewicz1
1. I Klinika Neurologiczna Instytutu Psychiatrii i Neurologii w Warszawie
2. Klinika Chorób Odzwierzęcych i Tropikalnych Akademii Medycznej w Warszawie
Postępy Psychiatrii i Neurologii 2008; 17 (4): 403-406
Keywords: echinococcosis, diagnosis, treatment, prevention, case report
Abstract

Objective. Echinococcosis is a rather seldom detected parasitic disease affecting the CNS in 2%o of cases only. Diagnostic difficulties occur if presentations in neuroimaging assessment are atypical, as in this disease serological tests can be negative for a long time since the onset of clinical symptoms.
Cases. Two patients with echinococcosis are described: a 53-year-old man with an isolated cerebral form of echinococcosis and an atypical brain MRI scan showing disseminated focal lesions, and a woman aged 18, with an ophtalmic form of the disease and disseminated neurological signs.
Commentary. Echinococcosis continues to be seen in Poland. Isolated intracerebral forms of this disease are very rare. The diagnosis should be based on neuroimaging findings, as well as serological test results and cerebrospinalfluid analysis. Oral treatment is an alternative method in non-operative cases.

Address for correspondence:
Dr Anna Bochyńska
I Klinika Neurologiczna, Instytut Psychiatrii i Neurologii
ul. Sobieskiego 9, 02-957 Warszawa
tel. 0-22-45 82 548
e-mail: abochyn@ipin.edu.pl