Preidler K W, Riepl T, Szolar D, Ranner G
Department of Radiology, Karl Franzens University of Graz, Austria.
AJNR Am J Neuroradiol. 1996 Sep;17(8):1598-600.
After returning from Africa, a 54-year-old man began to have episodes of headache and nausea, then a cerebral convulsion. Clinical and laboratory findings and response to chemotherapy indicated the diagnosis of cerebral schistosomiasis. Three lesions were seen on CT and MR studies: two appeared to be subacute intracerebral hematomas, one in the right parietal lobe and one in the frontal lobe; the third lesion, in the cortex of the left occipital lobe, appeared to be a cyst. These lesions could represent small granulomatous tissue reactions with secondary hemorrhages.
一名54岁男子从非洲归来后,开始出现头痛和恶心症状,随后发生脑惊厥。临床和实验室检查结果以及化疗反应表明诊断为脑血吸虫病。CT和磁共振成像(MR)研究发现三个病灶:两个看起来是亚急性脑内血肿,一个位于右侧顶叶,另一个位于额叶;第三个病灶位于左侧枕叶皮质,看起来是一个囊肿。这些病灶可能代表伴有继发性出血的小肉芽肿组织反应。