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Childs Nerv Syst. 2004 Jul;20(7):468-72. Epub 2004 May 12.

Cerebral toxocariasis: a possible cause of epileptic seizure in children.

Author information

1
Department of Neurosurgery, University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland. hbaechli@uhbs.ch

Abstract

INTRODUCTION:

Toxocariasis is a worldwide human helminthiasis, which is mostly asymptomatic and caused by toxocara canis, a roundworm in dogs. These can cause visceral larva migrans syndrome in humans who ingest contaminated soil. CNS manifestation with a focal mass lesion is very rare, seizures often being the first symptom.

CASE REPORT:

We describe an 11-year-old girl presenting with a generalized epileptic seizure and eosinophilia in blood. Under antibiotic therapy under the assumption of toxoplasmosis the lesion did not decrease and surgical resection was considered. We used computer-assisted surgery (CAS) for careful tissue resection. Postoperatively the diagnosis of toxocariasis was confirmed and albendozole medication was administered for 7 days. The patient developed well without neurological deficits or seizures.

CONCLUSION:

We conclude that although neurological involvement is rare in toxocariasis, a cerebral infection in a child with epileptic seizures and eosinophilia should be considered.

PMID:
15138789
DOI:
10.1007/s00381-004-0963-x
[Indexed for MEDLINE]

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