Scharf D
Department of Neurology, Los Angeles County-University of Southern California Medical Center 90033.
Arch Neurol. 1988 Jul;45(7):777-80. doi: 10.1001/archneur.1988.00520310087022.
Neurocysticercosis is no longer a medical curiosity in the United States. Two hundred thirty-eight patients with neurocysticercosis were studied between 1981 and 1986 at the Los Angeles County-University of Southern California Medical Center, Los Angeles. Presenting signs and symptoms were protean--ranging from a single convulsion to coma and death. Fifty-one patients (21%) presented with an acute increase in intracranial pressure. There were 71 patients who ultimately required a shunting procedure or craniotomy. Presentation, diagnosis, management, and laboratory adjuncts (the role of cysticercosis titers and the electroencephalogram) are discussed. Mortality and morbidity can be reduced by maintaining a high degree of suspicion in populations at increased risk for cysticercosis.
神经囊尾蚴病在美国已不再是医学上的罕见病例。1981年至1986年间，在洛杉矶的洛杉矶县 - 南加州大学医学中心对238例神经囊尾蚴病患者进行了研究。呈现出的体征和症状多种多样——从单次抽搐到昏迷和死亡。51例患者（21%）出现颅内压急性升高。最终有71例患者需要进行分流手术或开颅手术。本文讨论了其临床表现、诊断、治疗及实验室辅助检查（囊尾蚴病滴度和脑电图的作用）。对于囊尾蚴病风险增加的人群，保持高度怀疑可以降低死亡率和发病率。
