Ellrodt A, Halfon P, Le Bras P, Halimi P, Bourée P, Dési M, Caquet R
Arch Neurol. 1987 Apr;44(4):432-4. doi: 10.1001/archneur.1987.00520160064016.
Three patients with trichinosis developed central nervous system complications. Cerebral computed tomography showed multifocal hypodense lesions in two patients. The lesions were associated with contrast enhancement and cortical gyral enhancement in the first case, suggesting hypoxia and infarction. In the second patient, magnetic resonance imaging showed multiple high-signal-intensity lesions. Early cerebral computed tomography was normal in the third patient. All patients recovered after treatment with antiparasitic drugs and corticosteroids. We suggest that neurologic complications of trichinosis should be treated by corticosteroids and flubendazole.
三名旋毛虫病患者出现了中枢神经系统并发症。两名患者的脑部计算机断层扫描显示有多发性低密度病变。在第一例病例中，这些病变伴有对比增强和脑回增强，提示缺氧和梗死。在第二例患者中，磁共振成像显示有多个高信号强度病变。第三例患者早期脑部计算机断层扫描正常。所有患者经抗寄生虫药物和皮质类固醇治疗后均康复。我们建议旋毛虫病的神经系统并发症应采用皮质类固醇和氟苯达唑治疗。
