Ghariani S, Gille M, Matthijs P, Delbecq J, Depré A
Service de Neurologie, Clinique Ste-Elisabeth, Bruxelles, Belgique.
Rev Neurol (Paris). 1994 Oct;150(10):709-12.
A 36-year-old Indian man presented with a generalized tonic-clonic seizure. The diagnosis of neurocysticercosis was suspected by the presence of multiple cystic and nodular cerebral lesions on MRI, and was confirmed by serological studies (ELISA). He was treated with albendazole during one week at the daily dose of 15 mg/kg. This case illustrates the advantage of MRI over CT for the detection and the therapeutical follow-up of neurocysticercosis. Moreover, the MRI findings can be correlated to the anatomical stage of neurocysticercosis, proposed by Escobar (1983); four stages are described: I = vesicular stage (living larvae), II = vesicular colloidal stage (degenerating larvae), III and IV, granular nodular and nodular calcified inactive stages respectively.
一名36岁的印度男子出现全身强直阵挛性癫痫发作。MRI显示脑部有多个囊性和结节性病变,怀疑为神经囊尾蚴病,血清学研究(ELISA)证实了这一诊断。他接受了为期一周的阿苯达唑治疗,每日剂量为15mg/kg。该病例说明了MRI在神经囊尾蚴病的检测和治疗随访方面优于CT。此外,MRI表现可与Escobar(1983年)提出的神经囊尾蚴病解剖学分期相关;描述了四个阶段:I = 囊泡期(活幼虫),II = 囊泡胶体期(退化幼虫),III和IV分别为颗粒结节期和结节钙化静止期。