Bruck I, Antoniuk S A, Wittig E, Accorsi A
Disciplina de Neuropediatria, Universidade Federal do Paraná, (UFPR), Curitiba, Brasil.
Arq Neuropsiquiatr. 1991 Mar;49(1):43-6. doi: 10.1590/s0004-282x1991000100006.
Clinical and laboratory findings among 34 children (age range from 15 months to 13 years) with neurocysticercosis were reviewed. The main symptoms were: intracranial hypertension, 21 cases (62%); epilepsy, 20 cases (59%); hemiplegia, 4 cases (12%). Computed tomography (CT) in 33 children showed typical brain active cysts in 26 patients (79%) and calcifications in 2 (6%). The complement fixation reaction or the indirect immunofluorescent test for cysticercus antibody were positive in CSF in 77% (20 out of 26 patients) and serum in 78% (18 out of 23 patients). CSF pleocytosis was found in 57% of the cases (15/26 patients) with eosinophil cells in 27% (7/26 patients). The most efficient diagnostic test was CT scan of the head, and was confirmed immunologically by measurement of cysticercus antibody titers in CSF and serum.
回顾了34例(年龄范围从15个月至13岁)患神经囊尾蚴病儿童的临床和实验室检查结果。主要症状为:颅内高压21例(62%);癫痫20例(59%);偏瘫4例(12%)。33例儿童的计算机断层扫描(CT)显示,26例患者(79%)有典型的脑活动性囊肿,2例(6%)有钙化。脑脊液中囊尾蚴抗体的补体结合反应或间接免疫荧光试验在77%(26例患者中的20例)呈阳性,血清中在78%(23例患者中的18例)呈阳性。57%的病例(26例患者中的15例)脑脊液有细胞增多,27%(26例患者中的7例)有嗜酸性粒细胞。最有效的诊断检查是头部CT扫描,并通过测量脑脊液和血清中的囊尾蚴抗体滴度进行免疫学确诊。