Tasker W G, Plotkin S A
Pediatrics. 1979 May;63(5):761-3.
A case of cerebral cysticercosis in an American child is described. The patient was only 2 years old and had never left the United States. Her symptoms began with febrile seizures and progressed to focal motor seizures. Cerebrospinal fluid pleocytosis with eosinophilia, candle-guttering of the walls of the ventricles on pneumoencephalography, and a titer of 1:4,096 against cysticercosis antigen in her blood led to the diagnosis. Over a five-year follow-up period, the patient's course has been one of resolution of her symptoms, improvement in her electroencephalogram, and excellent seizure control with anticonvulsant therapy. Cysticercosis should be considered in the differential diagnosis of a child who shows CSF pleocytosis with eosinophilia, particularly if accompanied by focal seizures.
本文描述了一名美国儿童的脑囊尾蚴病病例。该患者年仅2岁，从未离开过美国。她的症状始于高热惊厥，之后发展为局灶性运动性惊厥。脑脊液中白细胞增多并伴有嗜酸性粒细胞增多，气脑造影显示脑室壁呈蜡泪样改变，血液中囊尾蚴病抗原滴度为1:4,096，据此作出诊断。在五年的随访期内，患者的症状逐渐缓解，脑电图有所改善，通过抗惊厥治疗癫痫得到了很好的控制。对于出现脑脊液白细胞增多并伴有嗜酸性粒细胞增多的儿童，尤其是伴有局灶性惊厥时，鉴别诊断应考虑囊尾蚴病。
