Walker J, Chen S, Packham D, McIntyre P
Department of Infectious Diseases and Microbiology, Westmead Hospital, Australia.
Southeast Asian J Trop Med Public Health. 1991 Dec;22 Suppl:242-4.
Cysticercosis, once rare in Australia, is now more frequently diagnosed. This change reflects the countries of origin of new immigrants and the destinations of Australians travelling. Five cases of neurocysticercosis diagnosed at Westmead Hospital in Sydney are described. Two involved Australians, a father and son who had visited eastern and southeastern Asia 10 years before presentation. The other three included immigrants from Chile and India and a visitor from Timor. Ages ranged from 5 to 57 years. Three individuals presented after focal seizures involving the upper limb, one had a long standing history of neurological dysfunction and one suffered from persistent headaches. In all cases computed tomographic scanning (CT) or magnetic resonance imaging (MRI) revealed cystic brain lesions and three of the five were seropositive as well. Four were treated with praziquantel and in one the lesions regressed significantly following treatment. However, the lesion in one case had decreased in size prior to treatment and that in the untreated individual also became smaller.
囊尾蚴病在澳大利亚曾较为罕见，如今诊断更为频繁。这一变化反映了新移民的原籍国以及澳大利亚人旅行的目的地。本文描述了在悉尼韦斯特米德医院诊断出的5例神经囊尾蚴病病例。其中2例涉及澳大利亚人，为一对父子，他们在就诊前10年去过东亚和东南亚。另外3例包括来自智利和印度的移民以及一名来自东帝汶的访客。年龄范围为5至57岁。3例患者出现上肢局灶性癫痫发作后前来就诊，1例有长期神经功能障碍病史，1例患有持续性头痛。所有病例的计算机断层扫描（CT）或磁共振成像（MRI）均显示脑部有囊性病变，5例中有3例血清学检测呈阳性。4例接受了吡喹酮治疗，其中1例治疗后病变明显消退。然而，1例患者的病变在治疗前就已缩小，未治疗的患者病变也变小了。
