中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2014年
6期
54-55
,共2页
李瑞芳%邱峥%葛林通%胡晴
李瑞芳%邱崢%葛林通%鬍晴
리서방%구쟁%갈림통%호청
脑囊虫病%诊断%治疗
腦囊蟲病%診斷%治療
뇌낭충병%진단%치료
cerebral cysticercosis%threapy%diagnosis
目的:探索脑囊虫病临床特点和诊治方法,提高非疫区医务人员对本病的认识,减少误诊误治。方法报告1例非疫区散发性脑囊虫病病例,复习文献资料,总结诊治经验,探讨其临床特点和诊治方法。结果患者以颅内压增高相关症状为主要表现入院,既往多次类似发作被诊断为“高血压”,未引起足够重视。本次通过影像学检查(M RI)、血清及脑脊液免疫学检查以及其他常规检查确立脑囊虫病诊断,并实施抗囊虫治疗,效果良好。结论脑囊虫病在非疫区偶有散发,无特异性症状,通过影像学及血清免疫学检查多可明确诊断。非疫区医务人员提高警惕,重视并加强对该病的认识是减少误诊的关键。
目的:探索腦囊蟲病臨床特點和診治方法,提高非疫區醫務人員對本病的認識,減少誤診誤治。方法報告1例非疫區散髮性腦囊蟲病病例,複習文獻資料,總結診治經驗,探討其臨床特點和診治方法。結果患者以顱內壓增高相關癥狀為主要錶現入院,既往多次類似髮作被診斷為“高血壓”,未引起足夠重視。本次通過影像學檢查(M RI)、血清及腦脊液免疫學檢查以及其他常規檢查確立腦囊蟲病診斷,併實施抗囊蟲治療,效果良好。結論腦囊蟲病在非疫區偶有散髮,無特異性癥狀,通過影像學及血清免疫學檢查多可明確診斷。非疫區醫務人員提高警惕,重視併加彊對該病的認識是減少誤診的關鍵。
목적:탐색뇌낭충병림상특점화진치방법,제고비역구의무인원대본병적인식,감소오진오치。방법보고1례비역구산발성뇌낭충병병례,복습문헌자료,총결진치경험,탐토기림상특점화진치방법。결과환자이로내압증고상관증상위주요표현입원,기왕다차유사발작피진단위“고혈압”,미인기족구중시。본차통과영상학검사(M RI)、혈청급뇌척액면역학검사이급기타상규검사학립뇌낭충병진단,병실시항낭충치료,효과량호。결론뇌낭충병재비역구우유산발,무특이성증상,통과영상학급혈청면역학검사다가명학진단。비역구의무인원제고경척,중시병가강대해병적인식시감소오진적관건。
Objective To reduce the clinical misdiagnosis and improve the realization regarding cerebral cysticercosis for medical staff in the non-pidemic area ,we discussed clinical characteristics and treatment methods of cerebral cysticercosis.Methods 1 case of cerebral cysticercosis was reported ,related literature was reviewed and experience of diagnosis and treat-ment was summarized to explore the clinical characteristics and treatment methods.Results Patient was sent to our hospital with symptoms of increased intracranial pressure ,diagnosis was difined as cerebral cysticercosis via magnetic resonance imaging and immunological tests of serum and cerebrospinal fluid ,anti-cysticercosis treatment was accepted and then be recovered smoothly. Conclusion Cerebral cysticercosis was rare in non-epidemic area and with no specific symptom. Difinite diagnosis could be attained throug imaging and serum immunological tests. The key to reduce misdiagnosis is to improve realization and awareness of the disease for medical staff of non-epidemic area.