{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,27]],"date-time":"2025-09-27T13:21:24Z","timestamp":1758979284967},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2014,2,5]],"date-time":"2014-02-05T00:00:00Z","timestamp":1391558400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction<\/jats:title>\n            <jats:p>The most serious erratic migration of paragonimiasis is a cerebral paragonimiasis. Infection in the temporal and occipital lobes of the brain has been previously reported in cerebral paragonimiasis. Here, we report a case of chronic brainstem paragonimiasis.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation<\/jats:title>\n            <jats:p>A 29-year-old Chinese woman presented to our hospital complaining of a sudden onset, three days previously, of double vision and dizziness. A computed tomography scan and diffusion-weighted images looked like an ischemic stroke. However, conglomerates of multiple ring-like enhancements on contrast magnetic resonance imaging, and the characteristic appearance of the \u2018tunnel sign\u2019, were found on further examination. Our patient was treated with praziquantel to prevent the spread of the paragonimiasis. She was followed up three months later and showed good recovery.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>Conglomerates of multiple ring-like enhancements on contrast magnetic resonance imaging and the characteristic appearance of the \u2018tunnel sign\u2019 were important for the diagnosis of chronic brainstem paragonimiasis.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/1752-1947-8-36","type":"journal-article","created":{"date-parts":[[2014,2,5]],"date-time":"2014-02-05T20:02:04Z","timestamp":1391630524000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Neuroimaging findings in a woman with brainstem paragonimiasis: a case report and review of the literature"],"prefix":"10.1186","volume":"8","author":[{"given":"Dong","family":"Yi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong","family":"Qiang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cao","family":"Wenjie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2014,2,5]]},"reference":[{"key":"2679_CR1","first-page":"847","volume-title":"Hunter\u2019s tropical medicine and emerging infectious diseases","author":"D Bunnay","year":"2000","unstructured":"Bunnay D, Cross JH, Bunnay T: Lung fluke infections; paragonimiasis. Hunter\u2019s tropical medicine and emerging infectious diseases. Edited by: Strickland GT. 2000, Philadelphia: W. B. Saunders Company, 847-851. Eighth","edition":"Eighth"},{"key":"2679_CR2","first-page":"51","volume-title":"Collected papers on parasite control in Korea","author":"SY Cho","year":"1994","unstructured":"Cho SY: Epidemiology of paragonimiasis in Korea. Collected papers on parasite control in Korea. Edited by: Chai JY, Cho SY, Han IS, Lee SH, Rim HJ. 1994, Seoul, Korea: The Korea Association of Health, 51-57."},{"key":"2679_CR3","doi-asserted-by":"crossref","first-page":"345","DOI":"10.3348\/jkrs.1993.29.3.345","volume":"29","author":"KH Chang","year":"1993","unstructured":"Chang KH, Cha SH, Han MH, Kim HD, Cho SY, Kong Y, Kang HK, Kim MS: An imaging diagnosis of cerebral paragonimiasis: CT and MR findings and correlation with ELISA antibody test. 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Clin Radiol. 1999, 54: 622-624. 10.1016\/S0009-9260(99)90026-0.","journal-title":"Clin Radiol"},{"key":"2679_CR9","first-page":"S21","volume":"10","author":"T Kadota","year":"1989","unstructured":"Kadota T, Ishikura R, Tabuchi Y, Nakao N, Fujikawa H, Kaba K, Tani E, Miura T: MR imaging of chronic cerebral paragonimiasis. 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