Wilber R R, King E B, Howes E L
Acta Cytol. 1980 Sep-Oct;24(5):421-6.
Cerebral cysticercosis from Taenia solium infection is a common disease in Central American countries but an infrequent one in the United States. We report distinctive cellular findings in cerebrospinal fluid (CSF) and attendant clinical features in five patients from Central America. The patients' histories showed variable previous parasitic infestations; their neurologic symptoms and signs usually were nonfocal. Routine examination of CSF of the five patients revealed elevated leukocyte counts, but eosinophilia was found in only two. Three of the CSFs showed marked pleocytosis, high variability and atypia, indicating possible lymphoma of the central nervous system. No hooklets or other structures associated with parasitic invasion were identified. The clinical findings, together with the cellular pleomorphism in CSF, generally suggested an inflammatory lesion rather than lymphoma. In cerebral cysticercosis, confirmation of diagnosis requires proof of the etiologic agent.
由猪带绦虫感染引起的脑囊尾蚴病在中美洲国家是一种常见疾病，但在美国并不常见。我们报告了来自中美洲的5例患者脑脊液（CSF）中独特的细胞检查结果及相关临床特征。患者既往有不同的寄生虫感染史；其神经症状和体征通常无局灶性。对这5例患者的脑脊液进行常规检查发现白细胞计数升高，但仅2例有嗜酸性粒细胞增多。其中3例脑脊液显示明显的细胞增多、高度变异性和异型性，提示可能为中枢神经系统淋巴瘤。未发现与寄生虫侵袭相关的小钩或其他结构。临床发现以及脑脊液中的细胞多形性，总体提示为炎症性病变而非淋巴瘤。在脑囊尾蚴病中，确诊需要找到病原体。
