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[脑室内神经囊尾蚴病。附3例报告]

[Intraventricular neurocysticercosis. Apropos of 3 cases].

作者信息

Duplessis E, Dorwling-Carter D, Vidaillet M, Piette J C, Philippon J

机构信息

Service de Neurochirurgie, Hôpital de la Pitié-Salpêtrière, Paris.

出版信息

Neurochirurgie. 1988;34(4):275-9.

PMID:3264386
Abstract

Cysticercosis cerebri is a rare neurological diagnosis in France. It is classically divided into four types: intraparenchymal, basilar cisternal, ventricular and diffuse. Three cases of intraventricular cysticercosis are reported. All patients had symptoms of increased intracranial pressure due to hydrocephalus and the authors emphasize the necessity of investigating for possible neurocysticercosis patients from endemics areas who presented such a clinical picture. They emphasize the interest of the E.L.I.S.A. test in order to detect anticysticercosis antibodies in blood and C.S.F. and the interest of Magnetic Resonance Imaging in order to visualise the cysts. Praziquantel do not affect intraventricular cysts and the surgical treatment is necessary to remove the cysts because the presence of an intraventricular parasite indicates an important risk of acute hydrocephalus and secondary of ependymitis source of irreversible neurological damages.

摘要

脑囊尾蚴病在法国是一种罕见的神经学诊断疾病。它通常分为四种类型:脑实质型、基底池型、脑室型和弥漫型。本文报告了三例脑室型囊尾蚴病病例。所有患者均因脑积水出现颅内压升高症状,作者强调对于出现这种临床表现的来自流行地区的患者,有必要排查是否可能患有神经囊尾蚴病。他们强调了酶联免疫吸附测定(ELISA)检测在检测血液和脑脊液中抗囊尾蚴病抗体方面的作用,以及磁共振成像在显示囊肿方面的作用。吡喹酮对脑室囊肿无效,手术治疗是清除囊肿所必需的,因为脑室内寄生虫存在意味着急性脑积水和继发性室管膜炎导致不可逆神经损伤的重大风险。

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