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原发性脊髓硬膜内髓外囊尾蚴病。

Primary spinal intradural extramedullary cysticercosis.

作者信息

Paterakis Konstantinos N, Kapsalaki Eutyxia, Hadjigeorgiou Georgios M, Barbanis Stylianos, Fezoulidis Ioannis, Kourtopoulos Haralampos

机构信息

Department of Neurosurgery, Larissa University Hospital, 411 10 Larissa, Greece.

出版信息

Surg Neurol. 2007 Sep;68(3):309-11; discussion 312. doi: 10.1016/j.surneu.2006.10.060.

Abstract

BACKGROUND

Spinal cysticercosis represents an uncommon localization of a common parasitic disease and, in most cases, is associated with intracranial involvement. Once confirmed, the entire neuraxis should be evaluated.

CASE DESCRIPTION

We present an unusual case of a 60-year-old male patient with isolated localization of spinal intradural extramedullary cysticercosis. The patient was treated successfully with the combination of surgical excision and orally administered albendanzole. We discuss the treatment options, the diagnostic screening, and the possible route of dissemination.

CONCLUSIONS

Because this is a rare but potentially life-threatening disease, clinicians should always take it into consideration in the differential diagnosis of spinal space-occupying lesions.

摘要

背景

脊髓囊尾蚴病是一种常见寄生虫病的罕见定位表现,多数情况下与颅内受累相关。一旦确诊,应评估整个神经轴。

病例描述

我们报告一例罕见病例,一名60岁男性患者患有孤立性脊髓硬膜内髓外囊尾蚴病。该患者通过手术切除联合口服阿苯达唑成功治愈。我们讨论了治疗方案、诊断筛查以及可能的传播途径。

结论

由于这是一种罕见但可能危及生命的疾病,临床医生在脊髓占位性病变的鉴别诊断中应始终予以考虑。

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