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腰椎硬脊膜内神经囊尾蚴病:一例报告。

Lumbar spinal intradural neurocysticercosis: A case report.

作者信息

Zhang Shizhong, Hu Yanyan, Li Zhen, Zhao Li, Wang Zhigang

机构信息

Department of Neurosurgery, Qilu Hospital of Qingdao Branch, Shandong University, Qingdao, Shandong 370203, P.R. China.

Department of Neurosurgery, Taian Central Hospital, Taian, Shandong 271000, P.R. China.

出版信息

Exp Ther Med. 2017 Jun;13(6):3591-3593. doi: 10.3892/etm.2017.4403. Epub 2017 Apr 28.

DOI:10.3892/etm.2017.4403
PMID:28588685
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5450794/
Abstract

Neurocysticercosis is a parasitic disease that results from the larvae of . While neurocysticercosis is considered as the most common parasitic infection of the nervous system, spinal neurocysticercosis is rare. The present case study investigated a 59-year-old woman, who was admitted to our hospital with pain in the bilateral lower limbs and urinary complaints in the form of straining of micturition with increasing frequency. Magnetic resonance imaging revealed an intradural extramedullary lesion extending from L1/2 to S1 of the spine. Subsequently, a laminectomy from L1 to S1 was performed 3 days post-presentation. Intraoperatively, a thin-walled cyst with clear fluid was identified, extending from L2 to S1. The exposed, white and mucoid cysticerci was removed completely. Which on pathological examination was identified to be cysticercosis.

摘要

神经囊尾蚴病是一种由……幼虫引起的寄生虫病。虽然神经囊尾蚴病被认为是最常见的神经系统寄生虫感染,但脊髓神经囊尾蚴病却很罕见。本病例研究调查了一名59岁女性,她因双侧下肢疼痛及排尿困难(表现为排尿费力且频率增加)入院。磁共振成像显示硬膜内髓外病变从脊柱的L1/2延伸至S1。随后,在就诊3天后进行了从L1到S1的椎板切除术。术中发现一个薄壁囊肿,内含清亮液体,从L2延伸至S1。将暴露的白色黏液样囊尾蚴完全切除。经病理检查确定为囊尾蚴病。

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本文引用的文献

1
Intradural Neurocysticercosis of Lumbar Spine: A Case Report.腰椎椎管内神经囊尾蚴病:1 例报告。
Global Spine J. 2015 Aug;5(4):e1-4. doi: 10.1055/s-0034-1394125. Epub 2014 Oct 10.
2
Intramedullary spinal cord neurocysticercosis presenting as Brown-Séquard syndrome.表现为布朗 - 塞卡尔综合征的脊髓内神经囊尾蚴病。
BMC Neurol. 2015 Jan 16;15:1. doi: 10.1186/s12883-014-0245-5.
3
Isolated intramedullary spinal cord cysticercosis.孤立性脊髓髓内囊尾蚴病。
J Neurosci Rural Pract. 2014 Nov;5(Suppl 1):S66-8. doi: 10.4103/0976-3147.145209.
4
Lumbar intradural neurocysticercosis: a case report.腰椎硬膜内神经囊尾蚴病:一例报告
Korean J Spine. 2014 Sep;11(3):205-8. doi: 10.14245/kjs.2014.11.3.205. Epub 2014 Sep 30.
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Neurocysticercosis: a review.神经囊尾蚴病:综述
ScientificWorldJournal. 2012;2012:159821. doi: 10.1100/2012/159821. Epub 2012 Jan 4.
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Treatment of intramedullary spinal cysticercosis: report of 2 cases and review of literature.脊髓髓内囊尾蚴病的治疗:2例报告并文献复习
Surg Neurol. 2007 Jan;67(1):74-7; discussion 77. doi: 10.1016/j.surneu.2006.03.034. Epub 2006 Oct 6.
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Treatment of neurocysticercosis: current status and future research needs.神经囊尾蚴病的治疗:现状与未来研究需求
Neurology. 2006 Oct 10;67(7):1120-7. doi: 10.1212/01.wnl.0000238514.51747.3a.
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Intramedullary spinal cysticercosis simulating a conus medullaris tumor: case report.模拟圆锥马尾肿瘤的脊髓髓内囊尾蚴病:病例报告
Arq Neuropsiquiatr. 2006 Mar;64(1):149-52. doi: 10.1590/s0004-282x2006000100033. Epub 2006 Apr 5.
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Neurocysticercosis: updated concepts about an old disease.神经囊尾蚴病:关于一种古老疾病的最新概念
Lancet Neurol. 2005 Oct;4(10):653-61. doi: 10.1016/S1474-4422(05)70194-0.
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Spinal neurocysticercosis.脊髓神经囊尾蚴病
Neurosurg Focus. 2002 Jun 15;12(6):e8. doi: 10.3171/foc.2002.12.6.9.