颅内包虫囊肿是中脑疝的罕见病因：一例报告及文献复习
Intracranial hydatid cyst is a rare cause of midbrain herniation: A case report and literature review.
作者信息
Duransoy Yusuf Kurtuluş, Mete Mesut, Barutçuoğlu Mustafa, Unsal Ulkün Ünlü, Selçuki Mehmet
机构信息
Department of Neurosurgery, Faculty of Medicine, Celal Bayar University, Manisa, Turkey.
出版信息
J Pediatr Neurosci. 2013 Sep;8(3):224-7. doi: 10.4103/1817-1745.123683.
Hydatid disease is a parasitic infection affecting the brain in about 2% of the cases. Brain involvement is most commonly observed in children. Here, we report a 13-year-old male patient who presented with headache, nausea, and vomiting. Before cranial computed tomography (CT) was performed, the patient had generalized epileptic seizures. He was disoriented, and had anisocoria with dilatation of the right pupilla. CT showed a cystic lesion of 10-cm diameter in the right temporoparietal region that had caused a shift of the midline structures to the contralateral side; an urgent operation was performed as there were signs of midbrain herniation.
包虫病是一种寄生虫感染，约2%的病例会累及脑部。脑部受累最常见于儿童。在此，我们报告一名13岁男性患者，他出现头痛、恶心和呕吐症状。在进行头颅计算机断层扫描（CT）之前，患者发生了全身性癫痫发作。他意识不清，右侧瞳孔散大，双侧瞳孔不等大。CT显示右侧颞顶叶区域有一个直径10厘米的囊性病变，该病变导致中线结构向对侧移位；由于存在中脑疝的迹象，遂紧急进行了手术。
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