BMJ:脑囊虫病——病例报道

2016-06-12 sunshine译 MedSci原创

男性患者,拉丁美洲人,既往体健,因左脸和四肢有短暂的刺痛感而就诊。临床检查和血液检查均未发现异常。症状发作间期患者脑电图显示其大脑右后部位存在致痫灶。脑磁共振成像显示,患者右顶叶存在一个偏心结节,病灶呈环形(如下图所示),与绦虫头节表现一致,可诊断为脑囊虫病。脑囊虫病是最常见的中枢神经系统寄生虫感染性疾病。随着全球移民的增加,其发病率也可上升。囊肿的数量、大小、位置和生存能力不同,症状表现不同。通

男性患者,拉丁美洲人,既往体健,因左脸和四肢有短暂的刺痛感而就诊。

临床检查和血液检查均未发现异常。症状发作间期患者脑电图显示其大脑右后部位存在癫痫灶。脑磁共振成像显示,患者右顶叶存在一个偏心结节,病灶呈环形(如下图所示),与绦虫头节表现一致,可诊断为脑囊虫病。


脑囊虫病是最常见的中枢神经系统寄生虫感染性疾病。随着全球移民的增加,其发病率也可上升。囊肿的数量、大小、位置和生存能力不同,症状表现不同。

通常脑囊虫病的预后较好;而脑膜、脑室或巨大囊肿的预后较差。

治疗措施包括驱虫药、糖皮质激素、抗惊厥药,很少采取手术摘除的方法。

原始出处:

Cerebral infection with Taenia solium. BMJ 2016; 353 doi: http://dx.doi.org/10.1136/bmj.i1007.

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  2. [GetPortalCommentsPageByObjectIdResponse(id=2092187, encodeId=71f6209218e1b, content=<a href='/topic/show?id=5b9184e8598' target=_blank style='color:#2F92EE;'>#脑囊虫病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84785, encryptionId=5b9184e8598, topicName=脑囊虫病)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=aa0e14, createdName=lifestar, createdTime=Fri Oct 07 01:12:50 CST 2022, time=2022-10-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=146949, encodeId=059614694928, content=好文值得点赞!继续关注学习。, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Wed Oct 12 16:11:46 CST 2016, time=2016-10-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1848018, encodeId=8daf184801802, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Thu Mar 02 11:05:00 CST 2017, time=2017-03-02, status=1, ipAttribution=)]
    2016-10-12 ylzr123

    好文值得点赞!继续关注学习。

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    2017-03-02 gaoxiaoe