Bellard S, Vincentelli F, Rabehanta P, Polydor J P, Caruso G
Service de Neurologie, H.I.A. Sainte-Anne, Toulon.
Neurochirurgie. 1990;36(3):185-90.
A case of intraventricular and cisternal cerebral cysticercosis with no intraparenchymatous involvement is reported. The clinical features were characterized by episodes of blockage of the C.S.F. pathways producing acute hydrocephalus. On three occasions surgical treatment was required: two ventriculoperitoneal shunts and a ventriculocisternostomy were performed. The intraventricular cystic membranes found during the third operation suggested the diagnosis. Epidemiological arguments, the pathogenesis of hydrocephalus and diagnostic and therapeutic aspects are discussed in the light of the literature data.
报告一例脑室内及脑池囊尾蚴病,无脑实质受累。临床特征表现为脑脊液通路阻塞发作导致急性脑积水。三次需要进行手术治疗:两次进行脑室腹腔分流术,一次进行脑室脑池造瘘术。第三次手术中发现的脑室内囊膜提示了诊断。结合文献资料对流行病学依据、脑积水的发病机制以及诊断和治疗方面进行了讨论。