Gupta S, Jain V K, Sen J, Gupta S, Arora B
Department of Dermatology and STD, Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India.
J Dermatol. 2000 Jan;27(1):35-9. doi: 10.1111/j.1346-8138.2000.tb02115.x.
A 25-year-old man and a 14-year-old boy presented with neurocutaneous cysticercosis involving the eyelid. Both patients had hundreds of scattered subcutaneous cysticerci. They were arranged in clusters over the sternocleidomastoid muscle in the neck. Such clustering of cysticerci is highly suggestive of central nervous system (CNS) involvement, as both the sternocleidomastoid muscle and the CNS are supplied by the carotid artery and cysticerci travel via the hematogenous route. We used ultrasonography to diagnose subcutaneous cysticercosis, which showed characteristic low reflective cysts and high reflective scolices inside. Although subcutaneous cysticerci are inconsequential, their verification is important in the diagnosis of more severe CNS involvement. They may be confused with other painless swellings such as lymphadenopathies, neurofibromas, and epidermoid cysts.
一名25岁男性和一名14岁男孩因累及眼睑的神经皮肤型囊尾蚴病前来就诊。两名患者均有数百个散在的皮下囊尾蚴。它们在颈部胸锁乳突肌上呈簇状分布。囊尾蚴的这种簇状分布强烈提示中枢神经系统（CNS）受累，因为胸锁乳突肌和中枢神经系统均由颈动脉供血，且囊尾蚴通过血行途径传播。我们使用超声诊断皮下囊尾蚴病，其显示出特征性的低回声囊肿及内部的高回声头节。虽然皮下囊尾蚴无关紧要，但对其进行确认对于诊断更严重的中枢神经系统受累很重要。它们可能会与其他无痛性肿胀如淋巴结病、神经纤维瘤和表皮样囊肿相混淆。
