CAJ | 학술논문

目的探讨脑寄生虫感染性疾病的发病情况、临床表现、影像学和生化特点,为临床医师提供该类疾病的诊治思路和方法.方法对我院2004年3月至2009年12月所收治的46例脑寄生虫感染患者临床资料进行分析和总结.结果 46例患者诊断为脑弓形虫病者14例,脑囊虫病者16例,脑裂头蚴病者14例,广州管圆线虫病者2例.首发症状以癫痫发作、偏瘫、共济失调、头痛多见.颅脑CT或MRI检查均可见病灶.血清和脑脊液寄生虫抗体检测阳性率均为80%.结论脑寄生虫病因所累及的具体部位不同,临床表现、影像学表现多样,临床症状以癫痫、偏瘫、头痛、眩晕多见.临床诊断需综合判断,同时需要注意鉴别诊断.
목적 탐토뇌기생충감염성질병적발병정황、림상표현、영상학화생화특점,위림상의사제공해류질병적진치사로화방법.방법 대아원2004년3월지2009년12월소수치적46례뇌기생충감염환자림상자료진행분석화총결.결과 46례환자진단위뇌궁형충병자14례,뇌낭충병자16례,뇌렬두유병자14례,엄주관원선충병자2례.수발증상이전간발작、편탄、공제실조、두통다견.로뇌CT혹MRI검사균가견병조.혈청화뇌척액기생충항체검측양성솔균위80%.결론 뇌기생충병인소루급적구체부위불동,림상표현、영상학표현다양,림상증상이전간、편탄、두통、현훈다견.림상진단수종합판단,동시수요주의감별진단.
Objective To provide the clinicians with the diagnostic and treatment methods for parasitic encephalopathy by exploring the clinical, iconographic and biochemical features in patients with the disorder. Methods The clinical data on 46 patients with parasitic encephalopathy who had been hospitalized during the period of March 2004 to December 2009 were analyzed and summarized. Results 33 of 46 patients were male and the remaining 13 were female. They were 3 to 76 years old. Toxoplasmatic encephalitis accounted for 30.4% ( 14/46 ), cerebral cysticercosis 34.8% ( 16/46 ), cerebral sparganosis 30.4% ( 14/46 ), and angiostrongyliasis cantonensis 4.3% ( 2/46 ). The primary symptoms were mainly epileptic attack,hemiplegia, dystaxia, and headache. Brain lesions were found on CT or MRI scans. The positive rate of antibody to parasitic infection was 80% in the serum and cerebrospinal fluid. Conclusions The clinical and iconographic features of parasitic encephalopathy vary. Clinical symptoms are mostly epilepsy, hemiplegia,headache, and dizziness. This disorder should be carefully identified..