脑囊虫病1例报告并文献复习  

A Case Report of Cerebral Cysticercosis and Literature Review

作　　者：李瑞芳[1] 邱峥[1] 葛林通[1] 胡晴[1] 

机构地区：[1]湖北省中山医院(武汉大学附属中山医院)神经内科,武汉430033

出　　处：《中国实用神经疾病杂志》2014年第6期54-55,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探索脑囊虫病临床特点和诊治方法,提高非疫区医务人员对本病的认识,减少误诊误治。方法报告1例非疫区散发性脑囊虫病病例,复习文献资料,总结诊治经验,探讨其临床特点和诊治方法。结果患者以颅内压增高相关症状为主要表现入院,既往多次类似发作被诊断为"高血压",未引起足够重视。本次通过影像学检查(MRI)、血清及脑脊液免疫学检查以及其他常规检查确立脑囊虫病诊断,并实施抗囊虫治疗,效果良好。结论脑囊虫病在非疫区偶有散发,无特异性症状,通过影像学及血清免疫学检查多可明确诊断。非疫区医务人员提高警惕,重视并加强对该病的认识是减少误诊的关键。Objective To reduce the clinical misdiagnosis and improve the realization regarding cerebral cysticercosis for medical staff in the non-pidemic area ,we discussed clinical characteristics and treatment methods of cerebral cysticercosis.Methods 1 case of cerebral cysticercosis was reported ,related literature was reviewed and experience of diagnosis and treat-ment was summarized to explore the clinical characteristics and treatment methods.Results Patient was sent to our hospital with symptoms of increased intracranial pressure ,diagnosis was difined as cerebral cysticercosis via magnetic resonance imaging and immunological tests of serum and cerebrospinal fluid ,anti-cysticercosis treatment was accepted and then be recovered smoothly. Conclusion Cerebral cysticercosis was rare in non-epidemic area and with no specific symptom. Difinite diagnosis could be attained throug imaging and serum immunological tests. The key to reduce misdiagnosis is to improve realization and awareness of the disease for medical staff of non-epidemic area.

关 键 词：脑囊虫病 诊断 治疗 

分 类 号：R532.33[医药卫生—内科学]