伴有嗜酸性脑膜炎的多级脊髓内神经囊尾蚴病
Multilevel intramedullary spinal neurocysticercosis with eosinophilic meningitis.
作者信息
Torabi Amir M, Quiceno Mary, Mendelsohn Dianne B, Powell Craig M
机构信息
Department of Neurology, The University of Texas Southwestern Medical Center, Dallas, USA.
出版信息
Arch Neurol. 2004 May;61(5):770-2. doi: 10.1001/archneur.61.5.770.
Abstract
BACKGROUND
Cysticercal involvement of the spinal cord is a very rare form of neurocysticercosis. Intramedullary cysts are even less common.
OBJECTIVE
To describe a novel presentation of multilevel intramedullary neurocysticercosis with eosinophilic meningitis.
DESIGN
Case report.
PATIENT
A 35-year-old man with a history of cerebral neurocysticercosis who presented with both cauda equina and Brown-Sequard syndromes associated with cerebrospinal fluid findings of eosinophilic meningitis.
RESULTS
Magnetic resonance imaging confirmed the multilevel intramedullary cord lesions. The patient was treated medically with dexamethasone and albendazole and had a good recovery.
CONCLUSION
Intramedullary neurocysticercosis should be considered as a potentially treatable cause of multilevel spinal lesions with subacute meningitis.
摘要
背景
脊髓囊尾蚴病是神经囊尾蚴病中一种非常罕见的形式。髓内囊肿更为少见。
目的
描述合并嗜酸性脑膜炎的多节段髓内神经囊尾蚴病的一种新表现形式。
设计
病例报告。
患者
一名35岁男性，有脑囊尾蚴病史，出现马尾综合征和布朗 - 色夸综合征，同时脑脊液检查发现嗜酸性脑膜炎。
结果
磁共振成像证实了多节段脊髓病变。患者接受了地塞米松和阿苯达唑的药物治疗，恢复良好。
结论
髓内神经囊尾蚴病应被视为亚急性脑膜炎伴多节段脊髓病变的一种潜在可治疗病因。
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