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阿苯达唑短程疗法治疗神经囊尾蚴病

Short course of albendazole therapy for neurocysticercosis.

作者信息

Sotelo J, Penagos P, Escobedo F, Del Brutto O H

机构信息

Instituto Nacional de Neurologia-y Neurocirugia, Mexico City, DF.

出版信息

Arch Neurol. 1988 Oct;45(10):1130-3. doi: 10.1001/archneur.1988.00520340084017.

DOI:10.1001/archneur.1988.00520340084017
PMID:3178533
Abstract

Albendazole is now used for therapy of neurocysticercosis; however, duration of treatment has usually been empirically determined. In this study we shortened the length of therapy from one month in previous reports, to one week. Twelve patients with parenchymal brain cysticercosis were treated with albendazole for eight days at daily doses of 15 mg/kg of body weight. After three months of treatment the number of cysts on computed tomography had decreased from 185 to six; a 97% reduction in the number of lesions. Total remission of all cysts was seen in nine patients. Two cases had been unsuccessfully treated before with praziquantel, in both instances albendazole therapy was effective with 100% improvement. Our results indicated that a short course of albendazole is highly effective for treatment of neurocysticercosis.

摘要

阿苯达唑目前用于治疗神经囊尾蚴病;然而,治疗疗程通常是凭经验确定的。在本研究中,我们将治疗疗程从先前报告中的一个月缩短至一周。12例脑实质囊尾蚴病患者接受阿苯达唑治疗,每日剂量为15mg/kg体重,共8天。治疗三个月后,计算机断层扫描显示囊肿数量从185个减少至6个;病变数量减少了97%。9例患者的所有囊肿完全消退。2例患者之前使用吡喹酮治疗失败,而使用阿苯达唑治疗均有效,改善率达100%。我们的结果表明,短疗程阿苯达唑治疗神经囊尾蚴病非常有效。

相似文献

1
Short course of albendazole therapy for neurocysticercosis.阿苯达唑短程疗法治疗神经囊尾蚴病
Arch Neurol. 1988 Oct;45(10):1130-3. doi: 10.1001/archneur.1988.00520340084017.
2
Albendazole therapy for neurocysticercosis.阿苯达唑治疗神经囊尾蚴病。
Arch Intern Med. 1987 Apr;147(4):738-41.
3
Albendazole vs praziquantel for therapy for neurocysticercosis. A controlled trial.
Arch Neurol. 1988 May;45(5):532-4. doi: 10.1001/archneur.1988.00520290064015.
4
Neurocysticercosis. Short course of treatment with albendazole.神经囊尾蚴病。阿苯达唑短程治疗。
Arch Neurol. 1989 Nov;46(11):1231-6. doi: 10.1001/archneur.1989.00520470099034.
5
Is the course of neurocysticercosis modified by treatment with antihelminthic agents?抗蠕虫药物治疗是否会改变神经囊尾蚴病的病程?
Arch Intern Med. 1995 Oct 9;155(18):1982-8.
6
Albendazole and praziquantel treatment in neurocysticercosis of the fourth ventricle.阿苯达唑和吡喹酮治疗第四脑室神经囊尾蚴病
J Neurosurg. 1997 Jul;87(1):29-33. doi: 10.3171/jns.1997.87.1.0029.
7
Failure of albendazole therapy in two common types of parenchymal neurocysticercosis.阿苯达唑治疗两种常见类型实质性脑囊尾蚴病的失败情况。
J Assoc Physicians India. 1995 Oct;43(10):706-7.
8
Albendazole therapy for neurocysticercosis: a prospective double-blind trial comparing 7 versus 14 days of treatment. Cysticercosis Working Group in Peru.
Neurology. 1997 May;48(5):1421-7. doi: 10.1212/wnl.48.5.1421.
9
[Selective sensitivity of cysts to praziquantel and albendazole in a case of cerebral cysticercosis].[脑囊尾蚴病病例中囊肿对吡喹酮和阿苯达唑的选择性敏感性]
Rev Neurol (Paris). 1992;148(1):58-61.
10
Albendazole in neurocysticercosis.阿苯达唑治疗神经囊尾蚴病。
Natl Med J India. 1995 Nov-Dec;8(6):255-8.

引用本文的文献

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A Personal Account Regarding the Origin and Evolution of Controversies in the Management of Neurocysticercosis.关于神经囊虫病管理中争议的起源和演变的个人叙述。
Am J Trop Med Hyg. 2019 Apr;100(4):780-782. doi: 10.4269/ajtmh.18-0921.
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Antiparasitic treatment of neurocysticercosis - The effect of cyst destruction in seizure evolution.神经囊尾蚴病的抗寄生虫治疗——囊肿破坏对癫痫发作演变的影响。
Epilepsy Behav. 2017 Nov;76:158-162. doi: 10.1016/j.yebeh.2017.03.013. Epub 2017 Jun 9.
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Neurocysticercosis: a review on status in India, management, and current therapeutic interventions.
神经囊尾蚴病:印度现状、管理及当前治疗干预措施综述
Parasitol Res. 2017 Jan;116(1):21-33. doi: 10.1007/s00436-016-5278-9. Epub 2016 Oct 24.
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Antiparasitic drugs in neurocysticercosis: albendazole or praziquantel?用于神经囊尾蚴病的抗寄生虫药物:阿苯达唑还是吡喹酮?
Expert Rev Anti Infect Ther. 2008 Jun;6(3):295-8. doi: 10.1586/14787210.6.3.295.
5
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.
6
High-dose praziquantel with cimetidine for refractory neurocysticercosis: a case report with clinical and MRI follow-up.大剂量吡喹酮联合西咪替丁治疗难治性神经囊尾蚴病:1例临床及MRI随访病例报告
West J Med. 1999 Feb;170(2):112-5.
7
Pharmacokinetic optimisation of the treatment of neurocysticercosis.神经囊尾蚴病治疗的药代动力学优化
Clin Pharmacokinet. 1998 Jun;34(6):503-15. doi: 10.2165/00003088-199834060-00006.
8
Concentrations of albendazole in serum, cerebrospinal fluid and hydatidous brain cyst.阿苯达唑在血清、脑脊液和脑包虫囊肿中的浓度。
Neurosurg Rev. 1993;16(1):35-7. doi: 10.1007/BF00308610.
9
Albendazole in neurocysticercosis.阿苯达唑治疗神经囊尾蚴病。
Indian J Pediatr. 1993 Jan-Feb;60(1):131-2. doi: 10.1007/BF02860518.
10
Oral albendazole in the management of extraocular cysticercosis.口服阿苯达唑治疗眼外囊尾蚴病
Br J Ophthalmol. 1994 Aug;78(8):621-3. doi: 10.1136/bjo.78.8.621.