摘要
小儿脑包虫病在临床表现、免疫学、影像学特征及外科治疗上,与成人脑包虫有很多不同之处。这种差别,在年龄越小的患者中,表现就越明显,现将我们诊治的5例报告如下。病例 5例脑包虫病患者中4例的临床表现见附表。另1例为巨大脑包虫,患儿7岁,男。1985年4月开始出现右拇指阵发性抽搐,每次抽搐累及右面部及肢体。1986年2月,右上下肢渐感无力,不能持物和行走。查体:左额部隆凸明显,隆凸中央用手指轻轻压迫后可凹陷,且富有弹性感。眼底视乳头水肿,右侧中枢性面瘫,右上下肢肌力Ⅲ级。
A case of cerebral giant hydatid cyst of children is reported. There are 5 differences between children and adults in cerebral hydatidosis. 1. The incidence of cerebral hydatidosis of children is higher than that of adults. 2. The symptoms appear later and atypical. The cysts are larger and usually cause separation of cranial sutures, bulging and damage of the cranial bone. 3. The growth speed is more than 1cm yearly. 4. The positive rate of ultrasonic examination is higher. 5. After the operation a large residual cavity remains because of the large cyst. A sprain of brain stem and acute subdural hematoma might be caused by a sharp turning of the head. In addition, the patients usually have headache, frequent vomitting and other symptoms due to the swift decrease of the intracranial pressure postoperatively. The other four cases of cerebral hydatids of children are also reported as well.
