Department of Medicine, Division of Infectious Disease, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA.
Infect Dis Clin North Am. 2019 Mar;33(1):153-168. doi: 10.1016/j.idc.2018.10.007.
Neurocysticercosis is an infection of the central nervous system by the larval stage of the pork tapeworm Taenia solium. The combination of modern diagnostic tests, use of antiparasitic drugs, improved anti-inflammatory treatments, and minimally invasive neurosurgery has improved outcomes in patients with neurocysticercosis. This parasitic infection is complex in both the clinical presentation and the treatment approach, which depends on the number of cysts, location in the brain, stage of degeneration, and host inflammatory response. Therapeutic interventions for each location are different; therefore, principles for managing parenchymal disease cannot be applied to extraparenchymal disease and should be individualized.
脑囊虫病是猪带绦虫幼虫（猪囊尾蚴）感染中枢神经系统所致。现代诊断检测技术的结合、驱虫药物的使用、抗炎治疗的改进以及微创神经外科手术均改善了脑囊虫病患者的预后。这种寄生虫感染在临床表现和治疗方法上都很复杂，取决于囊肿数量、脑内位置、退化阶段和宿主炎症反应。每个部位的治疗干预措施都不同；因此，管理实质病变的原则不能应用于实质外病变，而应个体化。
