Hemorrhagic intraspinal paragonimiasis

摘要

A 7-year-old girl presented with progressive weakness and paresthesias of both legs for 1 week. Sagittal spinal MRI showed a large epidural hematoma at T3-T8 with intralesional septations (figure 1). On axial images, the mass extended through the left intervertebral foramen to the paravertebral region and was confluent with the thickened left pleura (figure 2). Multiple pulmonary nodules were observed on MRI. The patient had high blood eosinophil count and a positive serologic test for Paragonimus-specific antibody. The patient underwent a complete resection and then was given praziquantel therapy. The symptoms showed progressive improvement. Pathology confirmed the diagnosis of paragonimiasis.