Percy A K, Byrd S E, Locke G E
Pediatrics. 1980 Dec;66(6):967-71.
In this country, cerebral cysticercosis is not commonly implicated as the etiology of an otherwise uncomplicated seizure disorder occurring during childhood. Nine children with neurologic symptomatology and radiographic (computed tomography) evidence consistent with cerebral cysticercosis have been evaluated. Each patient was born and resided for some period (1 1/2 to 10 years) in an endemic area. Principal symptomatology consisted of a generalized seizure disorder. EEGs were normal in five patients and nonspecific in two. Serologic studies on serum and CSF were negative in 8/9 patients including the single patient requiring surgical intervention for excision of a cysticercal cyst. Cerebral nuclide scanning was not helpful and skull radiography was used to diagnose intracerebral calcifications in six patients. Computed tomography revealed multiple calcifications in six patients and a solitary lesion in one. Five patients had enhancing cystic lesions including three of those with diffuse calcifications. Since the natural history of cerebral cysticercosis presenting in this fashion is benign, symptomatic treatment is often sufficient. Anticonvulsants generally provide adequate seizure control. In one patient, cyst removal was necessary to achieve seizure control. On the basis of this experience, conclusions are (1) that the incidence of cerebral cysticercosis in exposed children is higher than commonly appreciated, and (2) that computed tomography may assist in the establishment of the diagnosis.
在这个国家，脑囊尾蚴病通常不被认为是儿童期发生的无并发症癫痫发作的病因。我们对9名有神经症状且影像学（计算机断层扫描）证据符合脑囊尾蚴病的儿童进行了评估。每位患者均出生于流行地区并在当地居住了一段时间（1.5至10年）。主要症状为全身性癫痫发作。5例患者脑电图正常，2例无特异性。9例患者中8例血清和脑脊液的血清学检查为阴性，包括1例因切除囊尾蚴囊肿而需要手术干预的患者。脑核素扫描无帮助，6例患者通过头颅X线摄影诊断为脑内钙化。计算机断层扫描显示6例患者有多处钙化，1例有单个病灶。5例患者有强化囊性病灶，其中3例有弥漫性钙化。由于以这种方式出现的脑囊尾蚴病的自然病程是良性的，对症治疗通常就足够了。抗惊厥药一般能充分控制癫痫发作。1例患者需要切除囊肿以控制癫痫发作。基于这一经验，得出的结论是：（1）暴露儿童脑囊尾蚴病的发病率高于普遍认识；（2）计算机断层扫描有助于确诊。
