Mitarnun Witoon
Department of Medicine, Buriram Hospital, Buriram, Thailand.
Neurohospitalist. 2023 Jul;13(3):294-296. doi: 10.1177/19418744231161948. Epub 2023 Apr 19.
This report describes the case of a 68-year-old woman with episodic memory impairment for 6 months. Brain magnetic resonance imaging detected multiple extra-axial variable-sized cystic lesions in the left medial temporal lobe, suprasellar cistern, and perimesencephalic cistern. The serum and cerebrospinal fluid tested positive for , confirming racemose neurocysticercosis. Albendazole and praziquantel were administered for 6 months and prednisolone for 1 month. After 3 months, her symptoms resolved. Despite its rarity, racemose neurocysticercosis should be considered in patients with rapidly progressive dementia and cystic brain lesions.
本报告描述了一名68岁女性，有6个月的发作性记忆障碍。脑部磁共振成像在左侧颞叶内侧、鞍上池和中脑周围池发现多个轴外大小不一的囊性病变。血清和脑脊液检测呈阳性，确诊为葡萄状神经囊尾蚴病。给予阿苯达唑和吡喹酮治疗6个月，泼尼松龙治疗1个月。3个月后，她的症状消失。尽管葡萄状神经囊尾蚴病罕见，但对于快速进展性痴呆和脑囊性病变患者应考虑该病。
