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脊髓囊尾蚴病。病例报告及文献复习。

Spinal cysticercosis. Case report and review.

作者信息

Isidro-Llorens A, Dachs F, Vidal J, Sarrias M

机构信息

Institut Guttmann Centre de Paraplegics, Barcelona, Spain.

出版信息

Paraplegia. 1993 Feb;31(2):128-30. doi: 10.1038/sc.1993.23.

DOI:10.1038/sc.1993.23
PMID:8446458
Abstract

Cysticercosis is the commonest parasitic disease to affect the central nervous system (CNS). According to the World Health Organisation (1988), more than 2.5 million people worldwide are infected. Neurocysticercosis (NCC) is caused by the encysted larval form (porcine tapeworm) of Taenia solium (Cysticerus cellulosae). The ways in which the eggs of T Solium penetrate the CNS are illustrated in Table I. Involvement of the spinal cord in NCC varies between 1% and 5%. The isolated medullary form is very rare, only 50 cases having been reported up to 1988. The appearance of a spinal cord compression syndrome (SCCS) is unusual and late, according to reported series, the largest being that of Sotelo with 753 cases of NCC, including 10 causing SCCS, corresponding to 1.4%; also the classic Dixon and Lipscomb series of 450 NCC with only one patient with SCCS.

摘要

囊尾蚴病是影响中枢神经系统(CNS)最常见的寄生虫病。根据世界卫生组织(1988年)的数据,全球超过250万人受到感染。神经囊尾蚴病(NCC)由猪带绦虫(猪囊尾蚴)的包囊幼虫形式引起。猪带绦虫卵进入中枢神经系统的途径见表I。NCC中脊髓受累的比例在1%至5%之间。孤立的延髓型非常罕见,截至1988年仅报告了50例。据报道,脊髓压迫综合征(SCCS)的出现并不常见且较晚,最大的系列研究是索特洛的研究,有753例NCC病例,其中10例导致SCCS,占1.4%;还有经典的迪克森和利普斯科姆系列的450例NCC病例,只有1例患者出现SCCS。

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