Mitchell W G, Crawford T O
Childrens Hospital of Los Angeles, Neurology Division, CA 90054.
Pediatrics. 1988 Jul;82(1):76-82.
Cerebral cysticercosis is being diagnosed with increasing frequency in children in the United States. A total of 52 patients with intraparenchymal cerebral cysticercosis, 21 months to 20 years of age, were observed for 2 to 72 months. Actively inflamed acute lesions, with or without coexisting chronic calcified lesions, were seen in 42 patients. Solitary lesions were seen in 39 patients, multiple lesions in 13. Chronic inactive calcified lesions were seen in ten children. A total of 51 patients had seizures that were either partial or partial with secondary generalization. Patients were treated with anticonvulsants. Praziquantel was not used. All active lesions resolved completely or with punctate calcification in 2 to 9 months, according to radiographic findings. Seizures were easily controlled. Patients were gradually weaned from anticonvulsants and in 60% no seizures recurred. Prognosis was generally good. Characteristics of the CT scans are detailed.
在美国，儿童脑囊尾蚴病的诊断频率越来越高。共观察了52例脑实质内囊尾蚴病患者，年龄在21个月至20岁之间，观察时间为2至72个月。42例患者可见有或无并存慢性钙化灶的活动性炎症急性病灶。39例患者为孤立性病灶，13例为多发性病灶。10名儿童可见慢性非活动性钙化灶。共有51例患者出现部分性发作或部分性发作继发全身性发作。患者接受抗惊厥药物治疗。未使用吡喹酮。根据影像学检查结果，所有活动性病灶在2至9个月内完全消退或出现点状钙化。癫痫发作很容易得到控制。患者逐渐停用抗惊厥药物，60%的患者未再复发癫痫。总体预后良好。详细介绍了CT扫描的特征。
