Oliveira Sebastião Carlos de Sousa, Monteiro Dina Andressa Martins, Silva Giselle Furtado, Santos Lucas Tadeu Rocha, Ribeiro Espártaco Moraes Lima
Neurological Surgery, Federal University of Ceara, Sobral, BRA.
Neurology, Federal University of Ceara, Sobral, BRA.
Cureus. 2020 Apr 29;12(4):e7887. doi: 10.7759/cureus.7887.
The diagnosis of parkinsonism is established by the presence of tremor, stiffness and bradykinesia alongside with neurological examination, requiring the exclusion of secondary causes such as stroke, hydrocephalus and infectious diseases. Included in this last category, neurocysticercosis is a disease caused by Taenia solium, with a variable clinical presentation that can include epileptic seizures, hydrocephalus and rarely parkinsonism. In the reported case, the syndrome is a consequence of lesions in the nigrostriatal dopaminergic pathway caused by the implant and mass effect of the cysticercus. The authors report a case of parkinsonism in a 59-year-old woman with a previous history of neurocysticercosis who presented with hydrocephalus on magnetic resonance imaging exam. The patient was treated with pharmacological therapy and ventriculoperitoneal shunt, progressing with amelioration of the symptoms presented.
帕金森综合征的诊断是通过震颤、僵硬和运动迟缓的症状以及神经学检查来确定的，这需要排除中风、脑积水和传染病等继发性病因。在最后这一类病因中，神经囊尾蚴病是由猪带绦虫引起的一种疾病，其临床表现多样，可包括癫痫发作、脑积水，很少出现帕金森综合征。在本报告的病例中，该综合征是由囊尾蚴的植入和占位效应导致黑质纹状体多巴胺能通路受损所致。作者报告了一例59岁女性帕金森综合征病例，该患者既往有神经囊尾蚴病史，磁共振成像检查显示有脑积水。患者接受了药物治疗和脑室腹腔分流术，症状有所改善。
