Alvarez Rodríguez E, Torres-Gárate R, Gutiérrez Larráinzar A, Cabello J, Espinós Pérez D
Servicio de Medicina Interna I, Hospital Clínico Universitario San Carlos, Madrid.
An Med Interna. 2004 Aug;21(8):382-6. doi: 10.4321/s0212-71992004000800005.
Neurocysticercosis is a pathology that we are finding nowadays over the immigrant population. It is produced by the Taenia solium parasite when it encyst into the central nervous system. The most frequent clinic is the focal crisis though it can come up as a general crisis; hydrocephalus, intracranial hypertension and even encephalitis can also happen. Its diagnosis is mainly based on imaging methods. The treatment is still controversial and must be individualized. The indication of antiparasitic drugs like albendazole and praziquantel has to be considered depending on the viability of the parasite, the number of cysts and their localization. If a cyst grows up the treatment is always recommended. In the case of an intracranial hypertension arises, this has to be treated before initiating any other action against the parasitic disease. Antiepileptic drugs are necessary to treat the symptoms. In some cases it is also recommended the use of steroids before and during the administration of antiparasitic therapy and even independently on their own.
神经囊尾蚴病是一种我们如今在移民人群中发现的病理状况。它是由猪带绦虫寄生虫侵入中枢神经系统形成囊肿时引发的。最常见的临床表现是局灶性发作,不过也可能表现为全身性发作;还可能出现脑积水、颅内高压甚至脑炎。其诊断主要基于影像学方法。治疗仍存在争议,必须个体化。像阿苯达唑和吡喹酮这类抗寄生虫药物的使用指征,必须根据寄生虫的活力、囊肿数量及其位置来考虑。如果囊肿增大,总是建议进行治疗。如果出现颅内高压,在针对寄生虫病采取任何其他行动之前必须先进行治疗。抗癫痫药物对于治疗症状是必要的。在某些情况下,还建议在抗寄生虫治疗之前和期间使用类固醇,甚至单独使用类固醇。