Jain Nirdesh, Gutch Manish, Agrawal Avinash, Khanna Arjun
Department of Internal medicine, Chattrapati Sahuji Maharaj Medical University, Lucknow, India.
BMJ Case Rep. 2012 Jul 11;2012:bcr0820114613. doi: 10.1136/bcr.08.2011.4613.
Cysticercosis is the most common parasitic infection of the central nervous system. Cysticercosis infrequently affects the spine, but when it does, it can present with symptoms similar to other more common spinal diseases. Here, the authors report a case of disseminated cysticercosis, with simultaneous involvement of brain and the spinal cord. Initially, the patient was misdiagnosed as tuberculoma on the basis of cerebrospinal fluid examination and CT scan of brain and was being treated with antitubercular therapy. Later on the patient developed quadriparesis which was investigated and diagnosed to be disseminated neurocysticercosis.
囊尾蚴病是中枢神经系统最常见的寄生虫感染。囊尾蚴病很少累及脊柱,但一旦累及,可出现与其他更常见脊柱疾病相似的症状。在此,作者报告一例播散性囊尾蚴病病例,同时累及脑和脊髓。最初,根据脑脊液检查及脑部CT扫描,该患者被误诊为结核瘤,并接受抗结核治疗。后来患者出现四肢瘫,经检查诊断为播散性神经囊尾蚴病。