27例脑寄生虫病的临床与影像学分析  

The clinical and imaging analysis of 27 cases of parasitic encephalopathy

作　　者：陈峰[1] 王洁[2] 张玉琴[2] 

机构地区：[1]宁波市医疗中心李惠利医院神经内科,浙江宁波315040 [2]宁波市医疗中心李惠利医院放射科,浙江宁波315040

出　　处：《中国现代医生》2014年第25期48-50,共3页China Modern Doctor

基　　金：浙江省宁波市科技计划项目(2012C50007)

摘　　要：目的：分析脑寄生虫病的流行病学、临床及影像学表现。方法回顾性分析我院及浙二医院2009年1月~2013年10月收治的脑寄生虫病27例。结果27例患者中，男16例（59.26%），女11例（40.74%）；脑囊虫病16例（59.26%），脑肺吸虫病8例（29.63%），脑曼氏裂头蚴病3例（11.11%）；误诊达20例（74.07%）；临床表现依次为癫痫发作、精神症状、头痛、肢体乏力、发热等；其中23例患者影像学有阳性发现：病灶多位于皮层，增强后可见环形、结节状、指状及扭曲状强化。结论脑寄生虫病少见且易误诊，应重视其个人史、临床及影像学表现。Objective To investigate the epidemiology,clinical characteristics and imaging features of parasitic en-cephalopathy. Methods A retrospective analysis was carried out to analyze 27 cases from Ningbo Lihuili hospital and second affiliated hospital of Zhejiang university between January 2009 to October 2013. Results There were 16 male patients （59.26%） and 11 female patients （40.74%） of all the patients; neurocysticercosis accounted for 59.26%（16/27）, cerebral paragonimiasis accounted for 29.63%（8/27）, cerebral sparganosis 11.11%（3/27）;20 patients （74.07%） were mis-diagnosed;the clinical features in turn was epileptic seizure,psychiatric symptom,headache,limbs debilitation and fever;23 patients had abnormal findings of imaging：focus of infection almost in the cortex;enhancement scanning could find ring,nodular,finger and twisted strengthening. Conclusion Parasitic encephalopathy was few and easily misdiag-nosed,so we should pay attention to the personal history,clinical characteristics and imaging features.

关 键 词：脑寄生虫病 脑囊虫病 脑肺吸虫病 脑裂头蚴病 

分 类 号：R53[医药卫生—内科学]