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脑囊尾蚴病与癫痫:影像学与临床特征。

Neurocysticercosis and epilepsy: Imaging and clinical characteristics.

机构信息

School of Medicine, Universidad Autónoma de San Luis Potosí, San Luis Potosí, Mexico.

Institute of Neurobiology, Universidad Nacional Autónoma de México, Querétaro, Mexico.

出版信息

Epileptic Disord. 2023 Feb;25(1):94-103. doi: 10.1002/epd2.20060. Epub 2023 Apr 25.

DOI:10.1002/epd2.20060
PMID:37039375
Abstract

The ILAE Neuroimaging Task Force aimed to publish educational case reports highlighting basic aspects related to neuroimaging in epilepsy consistent with the educational mission of the ILAE. Neurocysticercosis (NCC) is highly endemic in resource-limited countries and increasingly more often seen in non-endemic regions due to migration. Cysts with larva of the tapeworm Taenia solium lodge in the brain and cause several neurological conditions, of which seizures are the most common. There is great heterogeneity in the clinical presentation of neurocysticercosis because cysts vary in number, larval stage, and location among patients. We here present two illustrative cases with different clinical features to highlight the varying severity of symptoms secondary to this parasitic infestation. We also present several examples of imaging characteristics of the disease at various stages, which emphasize the central role of neuroimaging in the diagnosis of neurocysticercosis.

摘要

国际抗癫痫联盟神经影像学工作组旨在发表教育病例报告,重点介绍与国际抗癫痫联盟的教育使命一致的癫痫神经影像学基本方面。神经囊虫病(NCC)在资源有限的国家高度流行,由于移民,在非流行地区也越来越常见。绦虫猪肉绦虫的幼虫囊肿位于大脑中,引起几种神经状况,其中癫痫发作是最常见的。神经囊虫病的临床表现存在很大的异质性,因为囊肿在数量、幼虫阶段和患者位置上有所不同。我们在此介绍两个具有不同临床特征的说明性病例,以强调继发于这种寄生虫感染的症状严重程度的差异。我们还介绍了该病在不同阶段的几种影像学特征示例,这些示例强调了神经影像学在神经囊虫病诊断中的核心作用。

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