Janeira L F
Department of medicine, Jersey City Medical Center, New Jersey.
Postgrad Med. 1988 Oct;84(5):71-2, 75-6. doi: 10.1080/00325481.1988.11700435.
The initial assessment of the young adult patient with multiple intracerebral lesions is challenging. The etiologic factors must be categorized as neoplastic, infectious, inflammatory, vascular, and hematologic, among others. Unfortunately, these lesions are not easily accessible for sampling, and all other diagnostic methods must first be exhausted. This case report describes a patient who was brought to an emergency department in New Jersey after her first seizure. The diagnosis was cerebral cysticercosis, an intracerebral parasitic infection that is extremely rare in this area but very common in other areas of the world. As more and more people immigrate to the United States, researchers believe that cerebral cysticercosis will become more common. It is imperative, therefore, for primary care physicians to understand this disease and to consider it in the appropriate setting.
对患有多处脑内病变的年轻成年患者进行初步评估具有挑战性。病因因素必须归类为肿瘤性、感染性、炎症性、血管性和血液学性等。不幸的是，这些病变不容易获取样本进行检查，必须先穷尽所有其他诊断方法。本病例报告描述了一名在新泽西州首次癫痫发作后被送往急诊科的患者。诊断为脑囊尾蚴病，这是一种脑内寄生虫感染，在该地区极为罕见，但在世界其他地区非常常见。随着越来越多的人移民到美国，研究人员认为脑囊尾蚴病将会变得更加普遍。因此，初级保健医生必须了解这种疾病，并在适当的情况下考虑到它。
