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我院神经内科至今已收治524例脑囊虫病,50年代每年平均收治6.2人,60年代12.3人,70年代32人,80~82年平均收治22人。收治例数的增多可能与诊断技术提高有关。脑囊虫病的临床表现以神经刺激症状癫痫发作最为常见,其次是高颅压和精神障碍。伴有皮下囊虫结节或有便螩虫史的病例,不难做出初步诊断。但本科资料表明,最后诊断为脑囊虫的病例仅1/3有螩虫寄生史。能发现囊虫结者也不过半数。那些即无螩虫史也没发现囊虫结的患者,常被误诊为脑瘤、蛛网膜粘连、结核性脑膜炎、非特异
So far, 524 cases of cerebral cysticercosis have been treated in our department of neurology. In the 1950s, an average of 6.2 people were treated each year, 12.3 in the 1960s and 32 in the 1970s, with an average of 22 people in 80 to 82 years. The increase in the number of cases may be related to the improvement of diagnostic techniques. The clinical manifestations of cysticercosis with neurological symptoms of seizures most common, followed by high intracranial pressure and mental disorders. Accompanied by subcutaneous cysticercosis nodules or cases of stool history, it is not difficult to make a preliminary diagnosis. However, undergraduate data show that the final diagnosis of cerebral cysticercosis only 1/3 have parasitic history. Cysticercosis can be found no more than half. Those who have no history of gall worms also found cysticercosis patients often misdiagnosed as brain tumor, arachnoid adhesions, tuberculous meningitis, non-specific