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脊髓髓内囊尾蚴病的治疗:2例报告并文献复习

Treatment of intramedullary spinal cysticercosis: report of 2 cases and review of literature.

作者信息

Ahmad Faiz Uddin, Sharma Bhawani Shankar

机构信息

Department of Neurosurgery, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi 110029, India.

出版信息

Surg Neurol. 2007 Jan;67(1):74-7; discussion 77. doi: 10.1016/j.surneu.2006.03.034. Epub 2006 Oct 6.

Abstract

BACKGROUND

NCC, Taenia solium involvement in the central nervous system, is one of the most common parasitic diseases. Spinal IMC is one of the rarest forms of NCC.

CASE DESCRIPTION

We report 2 cases (an 8-year-old child and a 35-year-old woman) of spinal IMC. Both cysts were dorsal in location. MRI was diagnostic in both cases. One case was treated surgically because of acute presentation. The other cyst healed with treatment with albendazole. Both patients had good clinical outcomes.

CONCLUSION

With medical management, IMC may take 1 year to resolve on MRI.

摘要

背景

神经囊尾蚴病(NCC),即猪带绦虫累及中枢神经系统,是最常见的寄生虫病之一。脊髓内脑囊虫病(IMC)是NCC最罕见的形式之一。

病例描述

我们报告2例脊髓IMC病例(1例8岁儿童和1例35岁女性)。两个囊肿均位于背部。两例病例的磁共振成像(MRI)均具有诊断价值。其中1例因急性症状而接受手术治疗。另一个囊肿经阿苯达唑治疗后愈合。两名患者均获得了良好的临床结局。

结论

通过药物治疗,IMC在MRI上可能需要1年才能消退。

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