The larvae of Paragonimus may migrate into the extradural space of the spinal cord.
Migration may occur through perivascular or perineural tissues.
The larvae cause a granulomatous mass with hemorrhage.
Presentation:
(1) progressive weakness in the lower extremities
(2) paresthesias in the lower extremities
The mass can be seen onT2 weighted MRI, which shows intralesional septations.
Other clues:
(1) nodules in the lung
(2) eosinophilia in the peripheral blood
(3) positive serology for antibody to Paragonimus
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Specialty: Infectious Diseases, Neurology
