脑囊虫病病人的临床与辅助检查分析

Clinical and diagnostic analysis of cerebral cysticercosis

目的 探讨脑囊虫病病人的临床和辅助检查的诊断价值。方法 对 4 32例脑囊虫病病人的临床资料和辅助检查结果进行对比分析。结果 在该组病人中 ,癫痫发作占 75 4 6 % ,颅内压增高占 36 81% ;异体感染占 79 39% ,农村高于城镇 ;脑电图异常率为 73 84 % ;CT阳性率为 84 72 % ;血和脑脊液间接血凝(IHA)阳性率分别为 78 6 6 %、75 5 6 % ;酶联免疫吸附试验 (ELISA)阳性率分别为 85 82 %和 83 39% ;循环抗原 (CAg)阳性率为 90 34%。结论 脑囊虫病病人以癫痫发作和颅内压增高为主要表现 ;异体感染为主要途径 ;在辅助检查中 ,CT和脑电图检查对诊断脑囊虫病具有重要的使用价值。

Objective To explore the clinical manifestations and diagnostic value of auxiliary examinations in patients with cerebral cysticercosis.Methods Clinical manifestations and results of examination were analyzed in 432 patients.Results Among these patients,the rate of eileptic seizures was 75.46% and intracranial hypertension was 36.81%.The rate of out of body infection was 79.39% in all patients.The infection rate in countryside was higer than that in cities and towns.The abnormal rate of EEG was 73.84% and the positive rate of CT was 84.72% in all patients with cysticercosis.The positive rates of serum and cerebrospinal fluid(CSF) of patients by IHA were 78.66% and 75.56% respectively,and the rates were 85.82% and 83.39% by ELISA respectively.The positive rate of circulating antigen was 90.34%.Conclusion The major manifestations of cerebral cysticercosis were epileptic seizures and intracranial hypertension.The patients were infected mainly by out of body infection.CT and EEG play very important role in diagnosis.