대한영상의학회지 (Jan 2020)

Various MRI Findings of Toxocara canis Myelitis

  • Sun Young Park,
  • Kyung Seok Park,
  • Eugene Lee,
  • Joon Woo Lee,
  • Yun Jung Bae,
  • Yusuhn Kang,
  • Joong Mo Ahn,
  • Heung Sik Kang

DOI
https://doi.org/10.3348/jksr.2020.81.1.135
Journal volume & issue
Vol. 81, no. 1
pp. 135 – 146

Abstract

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Purpose To describe magnetic resonance imaging (MRI) findings in 10 cases of Toxocara canis myelitis and to analyze these findings to aid in the diagnosis of this condition. Materials and Methods From June 2015 to March 2018, we retrospectively analyzed the electronic medical records and MR images of patients who were diagnosed with Toxocara canis myelitis. The analysis of the MR images was based on a discussion between an experienced spinal radiologist and a radiology resident. Results This study classified MRI findings into the following two types. Type 1 was defined as central and diffuse T2 high signal intensity on the axial plane, which was observed in 50% of all cases. All lesions showed avid enhancement, mostly in the posterolateral or posterior region (4 cases, 80%). Type 2 was defined as wedge-shaped or focal T2 high signal intensity in the posterolateral or posterior region and corresponded to the remaining 50% of the cases. In this case, the extent of the lesion was relatively small and contrast enhancement was observed in only one case. Conclusion This study revealed that various imaging findings could be observed in cases of Toxocara canis myelitis, and the findings were classified into two types.

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