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本文报告首例瘤样表现的脑部血吸虫病。患者男性,20岁,巴西籍。因枕部剧痛、恶心、呕吐、眩晕1月,于1978年3月31日入院。自幼有血吸虫病疫水接触史。体检:无肝脾肿大。右视时有眼球震颤、眼底有静脉曲张和双侧乳头水肿,颅神经检查无异常发现。化验检查:白细胞升高并左移。脑脊液清而无色、单核细胞轻度升高(>10个mm~3),无嗜酸粒细胞,蛋白70～95mg/dl,γ球蛋白17.6～18.0%。颅片正常。脑血管造影和选择性脊椎血管造影示右小脑占位性肿瘤样病变。双重X线脑室造影示脑积水,中脑导水管和第4脑室受压并畸形。同
This article reports the first tumor-like manifestation of schistosomiasis in the brain. Male patient, 20 years old, Brazilian. Due to occipital pain, nausea, vomiting, dizziness January, March 31, 1978 admission. Schistosomiasis epidemic contact history since childhood. Physical examination: no hepatosplenomegaly. Right nystagmus nystagmus, varicose veins and bilateral papillary edema, cranial nerve examination found no abnormalities. Laboratory tests: leukocytosis and left. Clear and colorless cerebrospinal fluid, monocytes slightly elevated (> 10 mm ~ 3), no eosinophils, protein 70 ~ 95mg / dl, γ globulin 17.6 ~ 18.0%. The skull is normal. Cerebral angiography and selective spine angiography showed right cerebellum space occupying tumor-like lesions. Dual X-ray ventriculography showed hydrocephalus, midbrain aqueduct and fourth ventricle compression and deformity. with