Journal of Capital Medical University ›› 1986, Vol. 7 ›› Issue (2): 128-131,170.

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The Treatment of Brain Cysticercosis with Intracranial Hypertension

Meng Jiamei1   

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

Abstract:

Result of treatment of 123 cases of Brain cysticercosis with intracranial hypertension was presented (Praziquantel 88 cases, Ibendazolt 35 cases) . All the cases met the strict diagnostic criteria, and have a check up at least 6 months after treatment. Effectiveness was evaluated basing on a 6-item standard.Result of Treatment: For praziquantel group, cure rate was 15.9% marked improvement 36.4% 16 cases in the group have deen followed up for 3 years.There were no recurrence. Effectiveness could be established with certainty. The CT findings that multiple low density areas before treatment disappeared or were transformed to hyperdensiity nodules after treatment were consistent with the symptomatic inprovement kedly Living quality of patients was mar kedly improved after the therapy. Asfor albendazole group, nosignificant number of patients and diverse dosage usediin this guoup.Side Effect. This article stressed the serious side effet of the therapy. In Praziquantel group, mortality rate was as high as 10.2% (9 cases) , Factors regarding malignant intracranial h hypertension afeer treatment was analy analysed, Thoseewho had lage amount of disiminated cysts locating in brain substsnce apparently gave more serious side effects. Younger age and clinical evidences of diffuse brain sympotom (conscious changes and mental symptom) and serious intracranial hypertension (choked disc with hemorrage) were shown statistically to be relevant with serious side effects.Seven suggestions were proposed to improve the treatment routine.