Sarria Estrada S, Frascheri Verzelli L, Siurana Montilva S, Auger Acosta C, Rovira Cañellas A
Unitat de Ressonància Magnètica, IDI, Servei de Radiologia, Hospital Universitari Vall d'Hebron, Barcelona, España.
Radiologia. 2013 Mar-Apr;55(2):130-41. doi: 10.1016/j.rx.2011.11.009. Epub 2012 May 26.
Neurocysticercosis, caused by the larvae of Taenia solium, is the parasitic infection that most commonly involves the central nervous system in humans. Neurocysticercosis is endemic in practically all developing countries, and owing to globalization and immigration it is becoming more common in developed countries like those in western Europe. The most common clinical manifestations are epilepsy, focal neurologic signs, and intracranial hypertension. The imaging findings depend on the larval stage of Taenia solium, on the number and location of the parasites (parenchymal, subarachnoid, or intraventricular), as well as on the host's immune response (edema, gliosis, arachnoiditis) and on the development of secondary lesions (arteritis, infarcts, or hydrocephalus). The diagnosis of this parasitosis must be established on the basis of the clinical and radiological findings, especially in the appropriate epidemiological context, with the help of serological tests.
神经囊尾蚴病由猪带绦虫幼虫引起,是人类最常见的累及中枢神经系统的寄生虫感染。神经囊尾蚴病在几乎所有发展中国家都呈地方性流行,由于全球化和移民,在西欧等发达国家也越来越常见。最常见的临床表现为癫痫、局灶性神经体征和颅内高压。影像学表现取决于猪带绦虫的幼虫阶段、寄生虫的数量和位置(实质、蛛网膜下腔或脑室内),以及宿主的免疫反应(水肿、胶质增生、蛛网膜炎)和继发性病变的发展(动脉炎、梗死或脑积水)。这种寄生虫病的诊断必须基于临床和影像学表现,特别是在适当的流行病学背景下,并借助血清学检测来确立。