Lescano Andres G, Zunt Joseph
Department of Parasitology, and Public Health Training Program, US Naval Medical Research Unit No. 6 (NAMRU-6), Lima, Peru; School of Public Health and Management, Universidad Peruana Cayetano Heredia, Lima, Peru.
Handb Clin Neurol. 2013;114:335-45. doi: 10.1016/B978-0-444-53490-3.00027-3.
Many cestodes are capable of invading the central nervous system (CNS), and several are highly prevalent in the developing world. Neurocysticercosis due to Taenia solium and echinococcosis due to Echinoccocus granulosus are two of the most common parasitic infections affecting humans, but other less well-known parasites can also infect the nervous system. Coenurosis, caused by Taenia spp. such as T. multiceps, T. serialis, or T. brauni; sparganosis, caused by Spirometra spp., and neurocysticercosis caused by T. crassiceps are three less frequent zoonotic conditions that should be considered in the differential diagnosis of patients presenting with CNS infection - especially if they have lived in or traveled through areas where these infections are endemic. Diagnosis of these infections is typically made through a combination of serological testing, histopathology, and neuroimaging.
许多绦虫能够侵入中枢神经系统(CNS),其中几种在发展中国家高度流行。由猪带绦虫引起的神经囊尾蚴病和由细粒棘球绦虫引起的棘球蚴病是影响人类的两种最常见的寄生虫感染,但其他不太知名的寄生虫也可感染神经系统。由多头绦虫、连续绦虫或布氏绦虫等绦虫属引起的多头蚴病;由裂头绦虫属引起的裂头蚴病,以及由肥胖带绦虫引起的神经囊尾蚴病是三种较少见的人畜共患病,在对出现中枢神经系统感染的患者进行鉴别诊断时应予以考虑——特别是如果他们曾在这些感染流行的地区居住或旅行过。这些感染的诊断通常通过血清学检测、组织病理学和神经影像学相结合来进行。