Higashi K, Yamagami T, Satoh G, Shinnou M, Tanaka T, Handa H, Furuta M
Department of Neurosurgery, Ijinkai Takeda General Hospital, Kyoto, Japan.
Surg Neurol. 1993 Jun;39(6):474-8. doi: 10.1016/0090-3019(93)90034-x.
A case of cerebral cysticercosis is reported in a 49-year-old female who presented with headache, nausea, and vomiting. Lumbar CSF showed the findings of mild aseptic meningitis. CT scan revealed an enlargement of the left ambient cistern and a small cystic lesion in the left frontal cortex. MRI demonstrated multilobular cysts in the left ambient cistern with enhancement of their capsules, which compressed and distorted the midbrain. The cysts were surgically excised, and histological examination of the specimen disclosed characteristic features of cysticercus with viable larva. An excellent value of MRI in the diagnosis of intracisternal cysticercosis is emphasized.
报告了一例49岁女性脑囊尾蚴病病例，该患者出现头痛、恶心和呕吐症状。腰椎脑脊液检查显示为轻度无菌性脑膜炎表现。CT扫描显示左侧环池扩大，左侧额叶皮质有一个小囊性病变。MRI显示左侧环池内有多个分叶状囊肿，其囊壁强化，压迫并扭曲了中脑。囊肿经手术切除，标本的组织学检查揭示了带有活幼虫的囊尾蚴的特征性表现。强调了MRI在脑池内囊尾蚴病诊断中的卓越价值。
