Katchanov et al listed clinical findings seen in patients with neurognathostomiasis. The authors are from Mahidol University and Khon Kaen University in Thailand.
Clinical syndromes:
(1) intracerebral hemorrhage (ICH)
(2) subarachnoid hemorrhage (SAH)
(3) meningitis or meningoencephalitis
(4) myelitis, radiculomyelitis or myeloencephalitis
A patient may show more than one syndrome over time since the larva can migrate.
|
Signs and Symptoms |
ICH |
SAH |
Meningo |
Myelo |
|
headache |
severe |
thunderclap |
severe |
|
|
focal neurological sign |
yes |
|
yes |
|
|
stiffness of neck, meningeal signs |
|
yes |
yes |
|
|
cranial nerve palsy |
|
|
yes |
|
|
altered level of consciousness |
possibly |
|
yes |
possibly |
|
sharp radicular pain |
|
|
|
yes |
|
spinal syndrome |
|
|
|
yes |
where:
• Spinal syndrome = paraplegia, monoplegia, quadriplegia, bladder dysfunction, sensory disturbance.
Specialty: Infectious Diseases
