脑囊虫病42例临床分析

Clinical Analysis of 42 Patients with Brain Cysticercosis

４２例经手术后病理检验或经皮下结节活检证实的脑囊虫病患者，其中脑实质型３８例占９０．５％，多以癫痫、肢体运动障碍，精神障碍为首发症状；脑室型４例，占９．５％，常以头痛、呕吐、眩晕，视乳头水肿等症状多见。作者认为若有以下标准之一可诊断为脑囊虫病，（１）头颅ＣＴ见典型囊虫结节或多数散在小异常钙化点；（２）头颅ＣＴ所见加皮下囊虫结节或绦虫感染史；（３）头颅ＣＴ所见加血囊虫间凝试验或其它免疫学试验阳性。

2 patients with cysticercosis demonstrated by post一operational pathological examina-tion or biopsying subcutaneous nodule were reported.Among these patients,38 cases wereparenchyai type(90.5% ),4 cases were intraventricular type(9.5%),the initial symptomsthat parenchymal type patients had were epilepsy,motor disturbance and mental disorder,while severe headache,vomiting,vertigo and papilloedem were more common in theintravetricular type patients.The authors considered the diagnosis could be made if the pa-tient fulfill one of the three following criteria:1)the typical cysticercus noduli or multipesmall calcification foci demonstrated by CT scan;2 CT finding plus subcutaneous nodulior infellious history,3)CT一finding plus postive serum complement fixation reaction。