Garcia Hector H, Del Brutto Oscar H
Cysticercosis Unit, Institute of Neurological Sciences, Lima, Peru.
Lancet Neurol. 2005 Oct;4(10):653-61. doi: 10.1016/S1474-4422(05)70194-0.
Neurocysticercosis, the infection of the human brain by the larvae of Taenia solium, is a major cause of acquired epilepsy in most low-income countries. Cases of neurocysticercosis are becoming more common in high-income countries because of increased migration and travel. Diagnosis by neuroimaging and serological assessment has greatly improved over the past decade, and the natural progression of the disease and response to antiparasitic drugs is now much better understood. Neurocysticercosis is potentially eradicable, and control interventions are underway to eliminate this infection. Meanwhile, updated information on diagnosis and management of neurocysticercosis is required, especially for clinicians who are unfamiliar with its wide array of clinical presentations.
神经囊尾蚴病是由猪带绦虫幼虫感染人脑引起的疾病,在大多数低收入国家,它是后天性癫痫的主要病因。由于移民和旅行增加,神经囊尾蚴病在高收入国家正变得越来越普遍。在过去十年中,通过神经影像学和血清学评估进行的诊断有了很大改善,现在对该疾病的自然病程以及对抗寄生虫药物的反应有了更好的了解。神经囊尾蚴病有可能被根除,目前正在开展控制干预措施以消除这种感染。与此同时,需要有关神经囊尾蚴病诊断和管理的最新信息,尤其是对于不熟悉其多种临床表现的临床医生而言。