Abstract:

Clinical data of 22 cases with paragonimiasis in brain and spinal cord in the Central Hospital of Enshi Tujia and Miao Autonomous Prefecture during 2003-2012 were retrospectively analyzed. Twenty-two cases aged from 6 to 17 years old， including 15 males and 7 females， were from the countryside， and had a history of eating raw crabs. CT and MRI showed that all the cases had cerebral lesion， 16 cases had unilateral lesion of cerebral hemisphere， and 6 cases had bilateral hemisphere lesions. There were mainly two kinds of imaging changes： ① the infarct and low-density edema of large area with focal hemorrhage； ② annular lesions. Among the 6 cases with intracerebral hematoma， 2 patients received surgical removal， and all the patients were treated with praziquantel， 25 mg/kg each time， 3 times per day， 3 d for a course. This regimen was repeated at a 7-day interval. All the patients were cured and discharged from hospital.

Key words: CT, MRI, Paragonimiasis