Grisolia J S, Wiederholt W C
Arch Neurol. 1982 Sep;39(9):540-4. doi: 10.1001/archneur.1982.00510210010003.
Worldwide, cysticercosis is the most common CNS parasite. Because of immigration from endemic areas, cysticercosis has become more common in the United States. Seventeen cases have been seen at the University of California Medical Center, San Diego (La Jolla) over the last ten years. Eight patients had intracranial hypertension; three, seizures; three, intracranial hypertension; and seizures; two, strokes; and one, retinal involvement. Diagnosis was by surgical biopsy in five cases and by clinical setting plus positive serologic findings in 12. Twelve patients underwent surgical procedures during their illness, one patient died, and five improved with steroid therapy. Clinical, serologic, and pathologic criteria permit definitive diagnosis. Therapy is currently directed toward complications of the primary infection, which usually is inactive at the time of presentation.
在全球范围内，囊尾蚴病是最常见的中枢神经系统寄生虫病。由于来自流行地区的移民，囊尾蚴病在美国变得更加常见。在过去十年中，圣地亚哥加利福尼亚大学医学中心（拉霍亚）共诊治了17例。8例患者有颅内高压；3例有癫痫发作；3例既有颅内高压又有癫痫发作；2例有中风；1例有视网膜受累。5例通过手术活检确诊，12例根据临床情况及血清学检查阳性结果确诊。12例患者在患病期间接受了外科手术，1例死亡，5例经类固醇治疗后病情好转。临床、血清学和病理学标准有助于明确诊断。目前的治疗针对原发性感染的并发症，而原发性感染在出现症状时通常处于静止状态。
