A Case of Intracanal Paragonismuswith Myelopathy

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A case of paragonismus in the intraspinal canal With myelopathy. A rare case of paragonimiasis with intraspinal localization at the level between the 11th thoracic and 3rd lumbar vertebrae was experienced in our clinic. in this case severe myelopathy developed, probably due to cyst formation in the spinal canal.Case: A 5-year-old girl lived in the basin of the river Shimata. She frequently ate river crabs. Ten months before admission to our clinic, gradually difficulty in walking developed.Shortly after the first appearance of symptom paresthesia developed, followed by urinary and fecal in continence.At first patient was placed in a treatment under the diagnosis of Guillain-Barre syndrome. However she was admitted to our clinic for further aggravation on the disease. An tumor in the etradural space was suspected myelographycally and laminectomy was carried out. The tumor was identified as a cyst in the spinal canal. Histo-pathological examination of the cyst revealed evidences of adult parag. Westermani, worm and paracyte eggs surrounded by a reactive connective tissues.One month after operation the sensory disturbance in the lower limbs and urinary and fecal incontinences were improved. 8 months after operation difficulty in walking was also improved considerably.
西日本整形・災害外科学会の論文