Tuch P S, Saffer D
S Afr Med J. 1984 Feb 11;65(6):211-6.
Two cases of histologically proven cerebral cysticercosis are presented. In both cases subcutaneous tissue nodules, a rare feature, were present. Several disease patterns are apparent--meningeal, parenchymatous and ventricular, spinal cord lesions and mixed patterns. Epilepsy is by far the major presenting symptom of cysticercosis, which in turn plays a significant role in the causation of adult-onset epilepsy in Blacks. Despite its drawbacks, the haemagglutination inhibition test remains the most satisfactory serological method at present available for the diagnosis of cysticercosis; it is positive in up to 85% of cases of proven cysticercosis. With the advent of computed tomography many cases of unsuspected cysticercosis (symptomatic or asymptomatic) are being discovered.
本文报告了两例经组织学证实的脑囊尾蚴病病例。两例均出现了皮下组织结节这一罕见特征。明显存在几种疾病模式——脑膜型、实质型和脑室型、脊髓病变以及混合型。癫痫是囊尾蚴病迄今为止的主要症状，而囊尾蚴病反过来在黑人成人癫痫的病因中起重要作用。尽管有其缺点，但血凝抑制试验仍是目前诊断囊尾蚴病最令人满意的血清学方法；在经证实的囊尾蚴病病例中，该试验阳性率高达85%。随着计算机断层扫描的出现，许多未被怀疑的囊尾蚴病病例（有症状或无症状）被发现。
