Recurrent cerebral larva migrans: A case report and review of literature

Abstract

Cerebral larva migrans (CLM) is an uncommon and rarely diagnosed entity. We report here a histopathologically proven case of CLM in a 13 year-old girl, who presented with bilateral focal seizures, right hemiparesis, and lapsed into altered sensorium prior to admission. Her CT scan was suggestive of a granulomatous lesion which eventually turned out to be CLM (toxocariasis). Interestingly, the lesion recurred after excision, with a confusing clinical picture. Following the second surgery, the pathology was reconfirmed and cure was provided for the disease. There has been no further intracranial recurrence during the past ten years although she developed cutaneous lesions.

IgE is a marker for visceral larva migrans

“…Toxocariasis[ 5 ] is a wide spread native parasitosis caused by toxocara-type nematode larva. It is commonly seen in children less than 12 years of age in rural areas.…”