首都医科大学学报 ›› 1986, Vol. 7 ›› Issue (2): 135-140,171.

• 论著 • 上一篇    下一篇

中枢神经系统囊虫病(1400例临床研究)

魏岗之, 李存江, 肖镇祥, 孟家眉, 丁铭臣   

  1. 北京第二医学院附属宣武医院神经内科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:1986-04-15 发布日期:1986-04-15

Cysticercosis of Central Nervous System (A Clinical Study of 1400 Cases)

Wei Gangzhi   

  1. Department of Neurology, Xuanwu Hospital
  • Received:1900-01-01 Revised:1900-01-01 Online:1986-04-15 Published:1986-04-15

摘要:

本文分析了1400例脑囊虫病,男性1064例,女性336例,青壮年(31—45岁)最多(62.6%)。根据我国分型标准:癫痫型561例,蛛网膜下腔型129例,脑实质型184例,脑室型102例,混合型419例,无症状型5例。癫痫发作是最常见的症状。囊虫性脑膜炎或蛛网膜粘连预后最差。少数可表现为缺血性卒中、脑炎、单纯头痛或单发巨大囊肿。CT扫描是目前最有效的诊断手段。吡喹酮治疗本病有效,本组有效率为64.4%,个别颅压增高患者可造成致死性副作用,值得警惕。

Abstract:

We studied 1400 cases of CNS cysticercosi s. 1064 were male, and 336 female, with 62.6% between the age of 31 and 45 years. According to the classification standard of our country, we divided our cases into epileptic type 561 cases’ subarachnoid tyPe 126 cases’ cerebral parenchymal type 184 cases’ intraventicular type 102 cases’ mixed tyPe 419 cases and asymptomatic type 5 cases. Epilepsy was the most common symptom. Meningitiis or adhesive arachonoiditis was the most catastrophic complication of neurocysticercosis. Other less common manifestations were stroke, encephalitis, headache without hydrocephalus or cerebral parenchymal inflamation or isolated large cyst. These cyst may mimic intracranial tumors and present a greater diagnostic challenge. Virtually the CT Scan is the most useful test in diagnosing neurocysticercosis. praziquante was effective clinical improvement occurred in 64.4%. There is no doubt that the use of praziquantel represents a major advance in the treatment of neurocysticercosis,