Walker M D, Zunt J R
Department of Neurology, University of Washington School of Medicine, Seattle, Washington 98104, USA.
Semin Neurol. 2005 Sep;25(3):262-77. doi: 10.1055/s-2005-917663.
Parasitic infection of the nervous system can produce a variety of symptoms and signs. Because symptoms of infection are often mild or nonspecific, diagnosis can be difficult. Familiarity with basic epidemiological characteristics and distinguishing radiographic findings can increase the likelihood of detection and proper treatment of parasitic infection of the nervous system. This article discusses the clinical presentation, diagnosis, and treatment for some of the more common infections of the nervous system caused by cestodes, trematodes and protozoans: Echinococcus spp., Spirometra spp. (sparganosis), Paragonimus spp., Schistosoma spp., Trypanosoma spp., Naegleria fowlerii, Acanthamoeba histolytica, and Balamuthia mandrillaris.
神经系统的寄生虫感染可产生多种症状和体征。由于感染症状通常较轻或不具特异性,诊断可能会很困难。熟悉基本的流行病学特征和具有鉴别意义的影像学表现可提高神经系统寄生虫感染的检出率和得到恰当治疗的可能性。本文讨论由绦虫、吸虫和原生动物引起的一些较常见的神经系统感染的临床表现、诊断和治疗:棘球绦虫属、裂头绦虫属(裂头蚴病)、并殖吸虫属、血吸虫属、锥虫属、福氏耐格里阿米巴、溶组织内阿米巴和曼氏巴贝斯虫。