Kumar Pradeep, Prasad Arun, Kumar Subhash
Pediatrics, All India Institute of Medical Sciences, Patna, IND.
Radiodiagnosis, All India Institute of Medical Sciences, Patna, IND.
Cureus. 2022 Jul 28;14(7):e27407. doi: 10.7759/cureus.27407. eCollection 2022 Jul.
A seven-year-old female child presented with sub-acute onset headache, vomiting, and aphasia with right-sided upper motor neuron (UMN) type hemiparesis and ipsilateral UMN type facial nerve weakness. Her coagulation profile and thrombotic profile were normal. MRI brain with magnetic resonance angiography (MRA) detected neurocysticercosis causing secondary vasculitis and narrowing of supraclinoid left internal carotid artery (ICA) and middle cerebral artery (MCA). The patient was given aspirin along with steroids and albendazole. She improved gradually, and her hemiparesis and facial nerve palsy improved completely by three months and aphasia by four months.
一名七岁女童出现亚急性起病的头痛、呕吐、失语，伴有右侧上运动神经元（UMN）型偏瘫及同侧UMN型面神经无力。她的凝血指标和血栓形成指标均正常。头颅磁共振成像（MRI）及磁共振血管造影（MRA）检查发现神经囊尾蚴病导致继发性血管炎，以及左侧颈内动脉床突上段（ICA）和大脑中动脉（MCA）狭窄。该患者接受了阿司匹林、类固醇及阿苯达唑治疗。她逐渐好转，三个月时偏瘫和面神经麻痹完全改善，四个月时失语改善。
