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CT 问世后,脑囊虫病的诊断率提高了,但有些类似脑肿瘤或脑内囊肿型病变者,术前确诊常很困难,可能导致错误的甚至是危险的治疗。作者报导4例类似脑肿瘤表现的脑囊虫病例,其中3例经手术才确诊,另1例CT 扫描因有多数钙化灶而确诊。4例均经手术治疗后症状明显改善。例1男,46岁。于1980年10月开始头痛伴呕吐及双眼视力减退。同年11月CT 扫描显示有一类似蛛网膜囊肿或多房性颅咽管瘤的囊性肿物压迫三脑室、两侧脑室扩张。经右额下入路手术发现囊肿压
After the advent of CT, the diagnostic rate of cerebral cysticercosis increased, but some patients with brain tumors or intracerebral cystic lesions are often difficult to diagnose before surgery, which may lead to erroneous or even dangerous treatment. The authors reported 4 cases of cerebral cysticercosis similar to brain tumors, of which 3 cases were diagnosed by surgery, and the other 1 case was diagnosed with CT scan due to the majority of calcifications. All of the 4 cases had improved symptoms after surgical treatment. Example 1 Male, 46 years old. Headache accompanied by vomiting and binocular vision loss began in October 1980. In the same year, CT scans in the same year showed a cystic mass resembling arachnoid cysts or multilocular craniopharyngiomas that compressed the third ventricle and dilated both ventricles. The cyst pressure was found through the right subfrontal approach