Jain Rajendra Singh, Handa Rahul, Vyas Arvind, Prakash Swayam, Nagpal Kadam, Bhana Indu, Sisodiya Mahendra S, Gupta Pankaj Kumar
Department of Neurology, SMS Medical College, Jaipur, Rajasthan, India.
Department of Neurology, SMS Medical College, Jaipur, Rajasthan, India.
Am J Emerg Med. 2014 Nov;32(11):1444.e1-2. doi: 10.1016/j.ajem.2014.04.048. Epub 2014 Apr 26.
Neurocysticercosis is the most frequent neuroparasitosis and is caused by Taenia solium larvae (cysticerci). Its most common presenting feature is seizure, although it may present as headache,focal deficits, hydrocephalous, or as features of raised intracranial pressure. We herein report a case of 40-year-old male who presented with features of acute encephalitis and raised intracranial pressure with magnetic resonance imaging suggestive of multiple neurocysticerci with diffuse cerebral edema. A diagnosis of cysticercotic encephalitis was made, which is a syndrome of encephalitis with clinical and radiologic evidences of diffuse cerebral edema caused by parenchymal cysticercosis. It is important for the clinicians to be aware of this medical emergency requiring urgent attention as delay may lead to fatal outcome.
神经囊尾蚴病是最常见的神经寄生虫病，由猪带绦虫幼虫（囊尾蚴）引起。其最常见的临床表现是癫痫发作，不过也可能表现为头痛、局灶性神经功能缺损、脑积水或颅内压升高的症状。我们在此报告一例40岁男性患者，其表现为急性脑炎和颅内压升高，磁共振成像显示有多个神经囊尾蚴伴弥漫性脑水肿。诊断为囊尾蚴性脑炎，这是一种由实质性囊尾蚴病引起的脑炎综合征，具有弥漫性脑水肿的临床和影像学证据。临床医生必须意识到这种需要紧急关注的医疗急症，因为延误可能导致致命后果。
