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颅内包虫囊肿:一种罕见疾病的影像学表现

Intracranial hydatid cyst: imaging findings of a rare disease.

作者信息

Taslakian Bedros, Darwish Houssein

机构信息

Department of Radiology, New York University Langone Medical Center, New York, New York, USA.

Department of Diagnostic Radiology, American University of Beirut Medical Center, Beirut, Lebanon.

出版信息

BMJ Case Rep. 2016 Sep 12;2016:bcr2016216570. doi: 10.1136/bcr-2016-216570.

Abstract

Hydatid disease (echinococcosis) is a worldwide zoonosis produced by the larval stage of the Echinococcus tapeworm. The disease is endemic in many parts of the world, particularly in the Middle East, Australia, New Zealand, South America and central and south Europe. Intracranial hydatid disease is considered a rare disease and may be sometimes very difficult to diagnose based on the clinical and laboratory findings. Therefore, it is important to be aware of the condition and the imaging findings even in the non-endemic parts of the world. We report the case of a 12-year-old boy who presented with headache and vomiting for a few months. The mass was totally excised, with no postoperative complications. We present MR spectroscopy (MRS) findings in this operatively proven case of hydatid cyst of the brain. We discuss imaging findings, in particular the findings on MRS, which is rarely reported in the literature.

摘要

包虫病(棘球蚴病)是一种由棘球绦虫幼虫阶段引起的全球性人畜共患病。该病在世界许多地区呈地方性流行,特别是在中东、澳大利亚、新西兰、南美洲以及欧洲中部和南部。颅内包虫病被认为是一种罕见疾病,有时根据临床和实验室检查结果很难诊断。因此,即使在世界非地方性流行地区,了解这种疾病及其影像学表现也很重要。我们报告一例12岁男孩,他因头痛和呕吐数月前来就诊。肿块被完全切除,术后无并发症。我们展示了这例经手术证实的脑包虫囊肿病例的磁共振波谱(MRS)结果。我们讨论了影像学表现,特别是MRS的表现,这在文献中很少报道。

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