Garg R K
Division of Neurology, Banaras Hindu University, Varanasi, India.
Postgrad Med J. 1998 Jun;74(872):321-6. doi: 10.1136/pgmj.74.872.321.
Neurocysticercosis is the most common parasitic disease of the central nervous system. Varied clinical manifestations occur, due to deposition of larvae of the parasite Taenia solium in cerebral parenchyma, meninges, spinal cord, muscles, eyes and skin. The diagnosis of neurocysticercosis can be made with a fairly high degree of accuracy with the help of computed tomography and magnetic resonance imaging. Serological tests and histopathological examination of subcutaneous nodules provide additional support in establishing the diagnosis. The anticysticercal drugs albendazole and praziquantel have been extensively used, and found to be effective for all types of neurocysticercosis. However, recently controversy has been raised about their safety, and long-term clinical usefulness. Preventive health measures, such as provision of safe drinking water and excretion disposal, still offer the best ways to manage this disease.
神经囊尾蚴病是中枢神经系统最常见的寄生虫病。由于寄生虫猪带绦虫的幼虫沉积在脑实质、脑膜、脊髓、肌肉、眼睛和皮肤中，会出现各种临床表现。借助计算机断层扫描和磁共振成像，神经囊尾蚴病的诊断可以达到相当高的准确性。血清学检测和皮下结节的组织病理学检查为确诊提供了额外支持。抗囊尾蚴药物阿苯达唑和吡喹酮已被广泛使用，并被发现对所有类型的神经囊尾蚴病均有效。然而，最近人们对它们的安全性和长期临床效用提出了争议。预防性健康措施，如提供安全饮用水和排泄物处理，仍然是控制这种疾病的最佳方法。
