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强调术前影像学检查在神经囊尾蚴病中的重要性:一例囊尾蚴囊肿从第三脑室快速迁移至第四脑室的病例报告

Highlighting the Importance of Preoperative Imaging in Neurocysticercosis: A Case Report of Rapid Cysticercus Cyst Migration From the Third to the Fourth Ventricle.

作者信息

Mader John P, Zekavaty Sepehr, Yang James, Rossi Ryan, Thompson Chad, Mahmoud Shamseldeen Y

机构信息

Radiology, Saint Louis University School of Medicine, Saint Louis, USA.

出版信息

Cureus. 2025 May 5;17(5):e83527. doi: 10.7759/cureus.83527. eCollection 2025 May.

DOI:10.7759/cureus.83527
PMID:40470427
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12136720/
Abstract

Neurocysticercosis is a parasitic infection of the central nervous system commonly caused by . Imaging with magnetic resonance imaging (MRI) is critical for diagnosis and follow-up of the infection. In this report, we present the case of a 44-year-old male with a history of chronic neurocysticercosis who presented with acute neurological symptoms. An initial MRI showed new obstructive hydrocephalus due to a cyst in the third ventricle. The patient underwent placement of an external ventricular drain to relieve the obstructing hydrocephalus. Follow-up imaging revealed interval migration of the cyst to the fourth ventricle. The cyst was removed surgically, and the patient recovered without any complications. This case emphasizes the importance of timely imaging for effective surgical planning of neurocysticercosis.

摘要

神经囊尾蚴病是一种中枢神经系统的寄生虫感染,通常由……引起。磁共振成像(MRI)检查对于该感染的诊断和随访至关重要。在本报告中,我们介绍了一名44岁男性慢性神经囊尾蚴病患者,该患者出现急性神经症状。最初的MRI显示由于第三脑室内的囊肿导致新的梗阻性脑积水。患者接受了外置脑室引流以缓解梗阻性脑积水。随访成像显示囊肿向第四脑室移位。通过手术切除了囊肿,患者康复且无任何并发症。该病例强调了及时成像对于神经囊尾蚴病有效手术规划的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8232/12136720/e58f17f6701d/cureus-0017-00000083527-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8232/12136720/e561c117e07f/cureus-0017-00000083527-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8232/12136720/4b26095953a0/cureus-0017-00000083527-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8232/12136720/311d90ed2074/cureus-0017-00000083527-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8232/12136720/2f15bd7933fe/cureus-0017-00000083527-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8232/12136720/e58f17f6701d/cureus-0017-00000083527-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8232/12136720/e561c117e07f/cureus-0017-00000083527-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8232/12136720/4b26095953a0/cureus-0017-00000083527-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8232/12136720/311d90ed2074/cureus-0017-00000083527-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8232/12136720/2f15bd7933fe/cureus-0017-00000083527-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8232/12136720/e58f17f6701d/cureus-0017-00000083527-i05.jpg

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本文引用的文献

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Neurocysticercosis. A frequent cause of seizures, epilepsy, and other neurological morbidity in most of the world.脑囊虫病。在世界上大多数地区,它是导致癫痫发作、癫痫和其他神经疾病的常见原因。
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Migrating intraventricular cysticercosis: magnetic resonance imaging findings.脑室型脑囊尾蚴病的迁移:磁共振成像表现
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