伪装成原发性中枢神经系统肿瘤的巨大小脑神经囊尾蚴病——一例报告并文献复习
Giant cerebellar neurocysticercosis masquerading a primary central nervous system neoplasm - A case report with review of literature.
作者信息
Singh Kavindra, Singh Rahul, Sihag Rakesh K, Kumar Arvind
机构信息
Department of Neurosurgery, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Department of Pathology and Laboratory Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
出版信息
Surg Neurol Int. 2024 Nov 15;15:416. doi: 10.25259/SNI_713_2024. eCollection 2024.
BACKGROUND
Neurocysticercosis (NCC) is one of the leading parasitic infections of the brain. Giant NCC is rare, with only two cases of cerebellar involvement reported till now. In the presence of a host immune response, these giant NCCs can mimic primary central nervous system neoplasms. The objective of this article is to report a rare case of giant cerebellar NCC and its management strategy with a literature review.
CASE DESCRIPTION
A young male presented with a giant cerebellar ring-enhancing mass with features of raised intracranial pressure, and surgical excision was done. The patient made an uneventful recovery.
CONCLUSION
Surgical excision is safe for NCC, especially in the presence of a diagnostic dilemma.
背景
神经囊尾蚴病（NCC）是脑部主要的寄生虫感染之一。巨大型NCC较为罕见，迄今为止仅报道过两例累及小脑的病例。在宿主免疫反应存在的情况下，这些巨大型NCC可类似原发性中枢神经系统肿瘤。本文旨在报告一例罕见的巨大型小脑NCC病例及其治疗策略，并进行文献复习。
病例描述
一名年轻男性出现一个巨大的小脑环形强化肿块，伴有颅内压升高的特征，遂行手术切除。患者恢复顺利。
结论
手术切除对NCC是安全的，尤其是在存在诊断困境的情况下。
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