神经血吸虫病：一种罕见的颅内占位性病变。
Neuroschistosomiasis: An Unusual Intracranial Space Occupying Lesion.
作者信息
Manamal Nevitha Athikari, Singhal Tanu, Kumar Abhaya, Sanghvi Darshana, Mani Jayanti
机构信息
Department of Laboratory Medicine, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, India.
Department of Pediatrics, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, India. Correspondence to: Dr Tanu Singhal, Department of Paediatrics, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai 400 053, India.
出版信息
Indian Pediatr. 2018 Nov 15;55(11):993-994.
BACKGROUND
Neuroschistosomiasis is an uncommonly reported disease.
CASE CHARACTERISTICS
An adolescent Indian boy residing in Kenya presented with headache, visual symptoms and seizures, with MRI showing space-occupying lesions in the occipital lobe and cerebellum.
OBSERVATION
Brain biopsy was diagnostic of neuro-schistosomiasis; complete recovery was seen with praziquantel and corticosteroid therapy.
MESSAGE
This case highlights the importance of considering epidemiology in differential diagnosis and establishing definitive diagnosis even if it is by invasive methods.
背景
神经血吸虫病是一种报道较少见的疾病。
病例特征
一名居住在肯尼亚的印度青少年男孩出现头痛、视觉症状和癫痫发作，磁共振成像显示枕叶和小脑有占位性病变。
观察结果
脑活检诊断为神经血吸虫病；吡喹酮和皮质类固醇治疗后完全康复。
启示
该病例突出了在鉴别诊断中考虑流行病学以及即使通过侵入性方法也要确立明确诊断的重要性。
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