@entity5472 is a rare @entity281 affecting various organs, including the central nervous system, especially the lumbar epidural space. This report describes the identification of disease and different strategies of treatments with preoperative information. A 42-year-old @entity1 presented with a 2-year history of @entity322 and @entity323 . He had a history of ingesting raw frogs 40 years ago. Magnetic resonance (MR) imaging showed an intramedullary nodular mass at conus medullaris and severe @entity32 in the cauda equina. A 51-year-old @entity1 was admitted with acute @entity158 in the left inguinal area. We observed a lesion which seemed to be a @entity5 of the lumbar epidural space on MR imaging. She also had a history of ingesting inadequately cooked snakes 10 years ago. In the first @entity1 , mass removal was attempted through laminectomy and parasite @entity281 was identified during intra-operative frozen biopsy. Total removal could not be performed because of severe @entity2443 and @entity1104 . We therefore decided to terminate the operation and final histology confirmed dead sparganum @entity281 . We also concluded further surgical trial for total removal of the dead worm and inflammatory grannulation totally. However, after seeing another physician at different hospital, he was operated again which resulted in worsening of @entity51 . In the second @entity1 , we totally removed dorsal epidural mass. Final histology and enzyme-linked immunosorbent assay (ELISA) confirmed living sparganum @entity281 and her @entity158 disappeared. Although the treatment of choice is surgical resection of living sparganum with @entity32 , the attempt to remove dead worm and adhesive granulation tissue may cause unwanted complications to the @entity1 . Therefore, the result of preoperative ELISA, as well as the information from image and history, must be considered as important factors to decide whether a surgery is necessary or not.

XXXX in the lumbar spine : report of two cases and review of the literature.

@entity1 :: ('9606', 'Species') :: ['woman', 'patient', 'patients', 'man'] @entity32 :: ('MESH:D007249', 'Disease') :: ['inflammation'] @entity323 :: ('MESH:D007172', 'Disease') :: ['impotence'] @entity322 :: ('MESH:D014549', 'Disease') :: ['urinary incontinence'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumor'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection', 'parasitic infection'] @entity51 :: ('MESH:D009461', 'Disease') :: ['pain and neurological deficit'] @entity5472 :: ('MESH:D013031', 'Disease') :: ['Sparganosis'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain'] @entity1104 :: ('MESH:D000267', 'Disease') :: ['adhesion'] @entity2443 :: ('MESH:D001100', 'Disease') :: ['arachnoiditis']
@entity5472 :: (MESH:D013031,Disease) :: ['Sparganosis']
