Desai A, Shankar S K, Jayakumar P N, Chandramuki A, Gourie-Devi M, Ravikumar B V, Ravi V
Department of Neurovirology, National Institute of Mental Health & Neuro Sciences, Bangalore.
Epidemiol Infect. 1997 Apr;118(2):165-71. doi: 10.1017/s0950268896007327.
In this study, we investigated the frequency of co-existence of cerebral cysticercosis (CC) in Japanese encephalitis (JE) cases with special emphasis on its role in predicting the final clinical outcome. Amongst the 163 confirmed cases of JE, 37.42% (61/163) had co-existent CC. This was confirmed by antibody detection in the CSF of 45 cases, CT scan of the brain in 6 cases and at autopsy in 3 cases. In 2 cases confirmation was possible by CT scan as well as at autopsy, in 4, CSF antibody levels and CT scan were suggestive of CC while in 1, CSF antibodies and autopsy were suggestive of CC The co-occurrence of Cysticercus cellulosae in the brain emerged as a prognosticator of poor outcome in JE cases (P < 0.03).
在本研究中，我们调查了日本脑炎（JE）病例中脑囊尾蚴病（CC）共存的频率，特别强调其在预测最终临床结局中的作用。在163例确诊的JE病例中，37.42%（61/163）存在CC共存。45例通过脑脊液抗体检测确诊，6例通过脑部CT扫描确诊，3例通过尸检确诊。2例通过CT扫描和尸检均可确诊，4例脑脊液抗体水平和CT扫描提示为CC，1例脑脊液抗体和尸检提示为CC。脑内猪囊尾蚴的共存成为JE病例预后不良的一个预测指标（P<0.03）。
