Schultz T S, Ascherl G F
Neurosurgery. 1978 Sep-Oct;3(2):164-9. doi: 10.1227/00006123-197809000-00006.
Six cases of cerebral cysticercosis have been diagnosed at the Neurological Institute of New York during the past 18 years. Three recent cases are discussed, with emphasis on the variability of signs and symptoms and the best available diagnostic techniques. One must have a high index of suspicion when evaluating patients who have immigrated to the United States from endemic areas, although the disease may be acquired through food contaminated by carriers in nonendemic areas. Conventional radiography (e.g., plain films and pneumography) and, more recently, computerized tomography are the most effective tests to confirm this diagnosis. Cerebrospinal fluid and serum eosinophilia and indirect hemagglutination titers are nonspecific but occasionally helpful. Therapy is currently confined to surgical excision of lesions where possible and symptomatic treatment otherwise.
在过去18年中，纽约神经学研究所诊断出6例脑囊尾蚴病。本文讨论了最近的3个病例，重点关注体征和症状的变异性以及现有的最佳诊断技术。在评估从流行地区移民到美国的患者时，必须保持高度的怀疑指数，尽管该疾病也可能通过非流行地区携带者污染的食物感染。传统的放射学检查（如平片和脑室造影）以及最近的计算机断层扫描是确诊该疾病最有效的检查方法。脑脊液和血清嗜酸性粒细胞增多以及间接血凝滴度是非特异性的，但偶尔会有所帮助。目前的治疗方法是尽可能通过手术切除病变，否则进行对症治疗。
