Font Puig C, Ruiz Postigo J A, Muñoz Batet C, Pardós Arnal F, Corachan Cuyás M
Servicio de Medicina Interna, Hospital Clínic i Provincial, Barcelona.
An Med Interna. 1999 Feb;16(2):89-91.
Neurocysticercosis is a helminthiasis of the central nervous system produced by the encysted larvae of the pork tapeworm Taenia solium. We report 4 cases of neurocysticercosis observed in immigrants from endemic areas (India and Latin America). Three of the patients were diagnosed because of new onset of seizures, all of the no received anthelmintic therapy with favourable outcome. The fourth case was a form known as racemose cysticercosis. She was admitted because of CNS sensorial symptoms with later development of severe intracranial hypertension that required surgical treatment. All the cases had a positive result in the ELISA test for cysticercosis. In only one patient chronic epilepsy persisted thus needing long-term anticonvulsant therapy as a sequelae. Our report helps to familiarize clinicians with the characteristic radiological findings from cysticercosis and em s the fact that epidemiological suspicion and serological data are usually enough to get the diagnosis and avoid unnecessary probes.
神经囊尾蚴病是由猪带绦虫的囊尾蚴引起的中枢神经系统蠕虫病。我们报告了4例在来自流行地区（印度和拉丁美洲）的移民中观察到的神经囊尾蚴病病例。其中3例患者因新发癫痫发作而被诊断，所有患者均未接受驱虫治疗，但预后良好。第四例是一种称为葡萄状囊尾蚴病的类型。她因中枢神经系统感觉症状入院，后来发展为严重的颅内高压，需要手术治疗。所有病例囊尾蚴病酶联免疫吸附测定（ELISA）试验结果均为阳性。只有一名患者持续存在慢性癫痫，因此作为后遗症需要长期抗惊厥治疗。我们的报告有助于临床医生熟悉囊尾蚴病的特征性影像学表现，并强调流行病学怀疑和血清学数据通常足以做出诊断并避免不必要的检查这一事实。
