为什么在多发性神经囊尾蚴病中脑部磁共振成像（MRI）比计算机断层扫描（CT）更具优势？
Why MRI of brain is superior to CT in multiple neurocysticercosis?
作者信息
Verma Rajesh, Lalla Rakesh
机构信息
Department of Neurology, Chhatrapati Shahuji Maharaj Medical University, Lucknow, Uttar Pradesh, India.
出版信息
BMJ Case Rep. 2012 Jun 14;2012:bcr0320126046. doi: 10.1136/bcr.03.2012.6046.
A 6-year-old girl presented with history of fever, headache and partial seizures with secondary generalisation. The cerebrospinal fluid analysis revealed pleocytosis and elevated proteins. The clinical evaluation and cerebrospinal fluid analysis was suggestive of chronic meningitis. The patient was started antituberculous therapy considering tuberculous meningitis. The authors report this case because MRI of brain showed multiple cysticerci throughout the brain parenchyma which was completely missed on CT brain. Antituberculosis treatment was withdrawn and the patient was advised albendazole, antiepileptic drug and steroids. The patient showed remarkable improvement at follow-up after 3 months.
一名6岁女孩出现发热、头痛及部分性癫痫继发全面性发作病史。脑脊液分析显示细胞增多及蛋白升高。临床评估和脑脊液分析提示为慢性脑膜炎。考虑到结核性脑膜炎，患者开始接受抗结核治疗。作者报告该病例是因为脑部MRI显示脑实质内有多个囊尾蚴，而脑部CT完全漏诊。停用抗结核治疗，建议患者服用阿苯达唑、抗癫痫药物及类固醇。3个月后随访时患者显示出显著改善。
Zotero 插件