Inatomi Y, Murakami T, Tokunaga M, Ishiwata K, Nawa Y, Uchino M
Department of Neurology, Kumamoto University School of Medicine, Japan.
J Neurol Sci. 1999 Apr 1;164(2):195-9. doi: 10.1016/s0022-510x(99)00078-7.
We described a patient with encephalopathy associated with visceral larva migrans (VLM) caused by Ascaris suum. He suffered from drowsiness, quadriparesis, eosinophilia and elevated serum IgE levels. Brain magnetic resonance (MR) imaging revealed multiple cerebral cortical and white matter lesions. Serological tests indicated recent infection with A. suum. Pulse steroid therapy relieved the patient's central nervous system symptoms and marked improvement of lesions on brain MR images. We concluded that the encephalopathy in this patient was probably caused by VLM due to Ascaris suum.
我们描述了一名患有由猪蛔虫引起的内脏幼虫移行症（VLM）相关脑病的患者。他出现嗜睡、四肢瘫、嗜酸性粒细胞增多和血清IgE水平升高。脑磁共振成像显示多个大脑皮质和白质病变。血清学检测表明近期感染了猪蛔虫。脉冲类固醇治疗缓解了患者的中枢神经系统症状，脑磁共振图像上的病变明显改善。我们得出结论，该患者的脑病可能是由猪蛔虫引起的VLM所致。
