das Chagas Maria das Graças Loureiro, D'Oliveira Júnior Argemiro, Tavares-Neto José
Departamento de Medicina Interna Social e Preventiva, Universidade Federal da Paraíba, Campina Grande, Paraíba, Brasil.
Arq Neuropsiquiatr. 2003 Jun;61(2B):398-402. doi: 10.1590/s0004-282x2003000300014. Epub 2003 Jul 28.
Case sheets of 44 patients with neurocysticercosis, coming from Campina Grande and others cities of Para ba state, examined between 1990 - 2001 were analyzed. The average age (SD +/-) was 20.6 +/- 14.3 years old, of which 54.5% were male. Thirty eight patients (86.2%) came from urban area. The initial symptom was convulsion in 90.9% of the cases and headaches in 9.1%. The epileptical form was present in 63.6% of the cases and the combined form in 22.3%. Computerized tomography of the skull was compatible with neurocysticercosis in 100% of the cases, showing calcification in (59.1%), integral cysts in (18.2%) and in degenerating in (20.4%), isolated or associated. The LCR performed on 29 patients showed alterations in 25 (86.2%) cases, predominating linfomonocitary pleocitose in 100% of the cases and positive immunological reactions in 64.3% of the cases. In conclusion neurocysticercosis is a frequent cause for convulsions in children and young adults in this region, and the ocorrence in urbane and rural areas denote the poor control of the taeniases/cistycercosis complex in this state.
对1990年至2001年间来自坎皮纳格兰德及帕拉伊巴州其他城市的44例神经囊尾蚴病患者的病历进行了分析。平均年龄（标准差±）为20.6±14.3岁，其中54.5%为男性。38例患者（86.2%）来自城市地区。初始症状在90.9%的病例中为惊厥，在9.1%的病例中为头痛。癫痫形式出现在63.6%的病例中，合并形式出现在22.3%的病例中。100%的病例头颅计算机断层扫描与神经囊尾蚴病相符，表现为钙化（59.1%）、完整囊肿（18.2%）和退化囊肿（20.4%），孤立或合并存在。对29例患者进行的腰椎穿刺检查显示25例（86.2%）有改变，100%的病例以淋巴细胞单核细胞增多为主，64.3%的病例免疫反应呈阳性。总之，神经囊尾蚴病是该地区儿童和年轻人惊厥的常见原因，城市和农村地区的发病率表明该州对绦虫病/囊尾蚴病复合体的控制不力。
