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[神经囊尾蚴病的当前情况。3例临床及病理报告]

[Current aspects of neurocysticercosis. Clinical and pathological report on 3 cases].

作者信息

Martin H, Michalik M

出版信息

Psychiatr Neurol Med Psychol (Leipz). 1977 Feb;29(2):87-95.

PMID:866501
Abstract

This is a clinical and pathological report on three cases (one 48-year-old male, one 57-year-old female, and one 59-year-old male) of neurocysticercosis where postmortem examinations were made between 1972 and 1974. In all of these three cases invasion of the body by the larva of Taenia solium and, more specifically, of the interpeduncular cisterns had led to chronic lymphocytic and granulomatous leptomeningitis and severe hydrocephalus. Complicating the disease picture in one case each were an occlusive granular ependymitis in the aqueduct and a nonspecific endangiitis. The great importance of liquor eosinophilia to the clinical diagnosis of neurocysticercosis is again demonstrated by reference to these cases. The complement fixation reaction is recommended as the most reliable method of diagnosing. This should be should in all ases of etiologically uncertain chronic leptomeningitis

摘要

这是一份关于三例神经囊尾蚴病的临床与病理报告(一例48岁男性、一例57岁女性和一例59岁男性),这些病例于1972年至1974年间进行了尸检。在这三例病例中,猪带绦虫幼虫侵入人体,更具体地说,侵入脚间池,导致慢性淋巴细胞性和肉芽肿性软脑膜炎以及严重脑积水。在其中一例病例中,疾病表现因导水管闭塞性颗粒性室管膜炎和非特异性血管内膜炎而复杂化。通过这些病例再次证明了脑脊液嗜酸性粒细胞增多对神经囊尾蚴病临床诊断的重要性。推荐补体结合反应作为最可靠的诊断方法。在所有病因不明的慢性软脑膜炎病例中均应进行此项检查。

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