Vantomme M, Swartenbroekx R, Dhaen B, Peetermans W, Plets C, Demaerel P, Dom R, Robberecht W
Department of Neurology, University Hospital Gasthuisberg, University of Leuven, Belgium.
Acta Neurol Belg. 1995;95(1):23-8.
A 22-year-old male patient of Indian origin presented with generalized seizures. Brain magnetic resonance imaging (MRI) showed two cystic lesions. Extensive screening only revealed positive skin tests for tuberculosis. Immunoassays for cysticerosis were negative in serum and cerebrospinal fluid. Biopsy of the temporal lesion revealed a cysticercus. Although neurocysticercosis is a common cause of seizures in patients from countries where cysticercosis is endemic, the diagnosis can be difficult in a patient with evidence of multiple infections or in whom serological evidence is lacking, as is illustrated by the present case. Furthermore, because the pathogenic factors determining the activity of the disease are poorly understood, its management represents a similar problem as it depends upon the activity of the disease as estimated by clinical, radiological and laboratory tests. The present case report illustrates these difficulties.
一名22岁的印度裔男性患者出现全身性癫痫发作。脑部磁共振成像（MRI）显示有两个囊性病变。广泛筛查仅发现结核菌素皮肤试验呈阳性。血清和脑脊液中囊尾蚴病免疫测定均为阴性。颞部病变活检显示有囊尾蚴。虽然神经囊尾蚴病是囊尾蚴病流行国家患者癫痫发作的常见原因，但对于有多种感染证据或缺乏血清学证据的患者，诊断可能会很困难，本病例即说明了这一点。此外，由于决定疾病活动的致病因素了解甚少，其治疗也存在类似问题，因为治疗取决于通过临床、放射学和实验室检查估计的疾病活动情况。本病例报告说明了这些困难。
