Clinical sparganosis in Hong Kong.
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Biomedical subjects
Publications and source records attributed to C F Fung.
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A case is reported of cauda equina compression from an intradural meningioma arising from the L-5 nerve root in a young man.
Sparganosis of the spinal cord is a rare disease: only two cases have previously been described. A third case of spinal sparganosis is reported in which a sparganum was removed from the central canal of the patient's spinal cord. The clinical presentation and pathology are described. A brief review of the life cycle of the Spirometra is given and the possible mode of infestation is discussed.
Following an encephalopathic illness, a 13-year-old Chinese boy had a partial form of Klüver-Bucy syndrome with emotional disturbance, recent memory loss, hypersexuality, and polyphagia. Other unusual features included narcolepsy, polydipsia, and polyuria. Virologic studies failed to incriminate the etiologic agent, including herpes simplex virus. Brain biopsy of the frontal lobe demonstrated Alzheimer type II astrocytosis.
A 4-year-old boy with hypochondroplasia presented with delay in gross motor development. Magnetic resonance imaging demonstrated basilar impression with compression at the craniovertebral junction and mild degree of hydrocephalus. Posterior fossa decompression resulted in improvement in neurologic function and relief of hydrocephalus.
This paper introduces a new technique to convert a conventional Leksell stereotactic frame into a computerized tomography compatible system. Accurate calculation of the tumour coordinates can be made by means of two adapter plates with double diagonal lines on each side thus obviating the requirement of careful alignment of the scanner. The adapter plates are of simple design and easy to prepare.
Spinal cord ganglioglioma is a rare tumor most often encountered in the first three decades. Scanty computed tomography (CT) reports on the tumor describe it as a hypodense or cerebrospinal fluid (CSF) dense area with little contrast enhancement despite its solid nature. We report two cases of spinal ganglioglioma both involving almost the whole spinal cord. On magnetic resonance imaging (MRI), the tumors appear hypointense to the spinal cord on T1 and hyperintense to the cord on T2 images, and were mainly solid at exploration. It is important to recognize these tumors as long survival can be achieved after surgical resection.
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