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PT  - JOURNAL ARTICLE
AU  - Sawanyawisuth, Kittisak
AU  - Tiamkao, Somsak
AU  - Kanpittaya, Jaturat
AU  - Dekumyoy, Paron
AU  - Jitpimolmard, Suthipun
TI  - MR Imaging Findings in Cerebrospinal Gnathostomiasis
DP  - 2004 Mar 01
TA  - American Journal of Neuroradiology
PG  - 446--449
VI  - 25
IP  - 3
4099  - http://www.ajnr.org/content/25/3/446.short
4100  - http://www.ajnr.org/content/25/3/446.full
SO  - Am. J. Neuroradiol.2004 Mar 01; 25
AB  - Summary: Human gnathostomiasis is an infection caused mainly by Gnathostoma spinigerum, a nematode. Infected humans can present with various clinical manifestations. Serology is the criterion standard for diagnosing gnathostomiasis, whereas MR imaging represents a complementary tool for assessing severity and extent of disease. We report two definite cases of gnathostomiasis that were confirmed by the immunoblotting technique. MR imaging of the cervical cords showed cord enlargement and diffuse high signal intensity, mainly of the gray-white matter regions. MR imaging of the brain showed hemorrhagic tract and scattered deep intracerebral hemorrhage with diffuse, fuzzy white matter lesions with nodular enhancement. Severe gnathostomiasis was unresponsive to treatment.