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脑室囊虫病的诊断与治疗
引用本文:张永福,周本立.脑室囊虫病的诊断与治疗[J].中国寄生虫学与寄生虫病杂志,1993,11(4):255-257.
作者姓名:张永福  周本立
作者单位:河南省人民医院神经外科,河南省人民医院神经外科,河南省人民医院神经外科,河南省人民医院神经外科,河南省人民医院神经外科,河南省人民医院神经外科,河南省人民医院神经外科,河南省人民医院神经外科,河南省人民医院影像科,河南省人民医院影像科 郑州 450003,郑州 450003,郑州 450003,郑州 450003,郑州 450003,郑州 450003,郑州 450003,郑州 450003,郑州 450003,郑州 450003
摘    要:报告经手术和病理证实的脑室囊虫病31例,均为单个囊虫,位于四脑室24例,三脑室3例,侧脑室4例。经脑室造影CT扫描诊断的3例四脑室囊虫病患者手术时,囊虫已进入枕大池,1例三脑室囊虫移到侧脑室引流管处,因此,临床上诊断某一脑室内囊虫,手术探查该脑室中未见囊虫时,应沿脑液流动方向查找。

关 键 词:脑囊虫病  脑室  外科手术  诊断

DIAGNOSIS AND TREATMENT OF CYSTICERCOSIS OF CEREBRAL VENTRICLES
Zhang Yong-Fu,Li Hong-Wei,Huang Wen-Cheng,Chu Gong-Ren,Shi Xi-Wen,Yin Da-Li,Zhang Jia-Dong,Wang Xi-Hong,Zhou Bin-Li,Zhao Dong.DIAGNOSIS AND TREATMENT OF CYSTICERCOSIS OF CEREBRAL VENTRICLES[J].Chinese Journal of Parasitology and Parasitic Diseases,1993,11(4):255-257.
Authors:Zhang Yong-Fu  Li Hong-Wei  Huang Wen-Cheng  Chu Gong-Ren  Shi Xi-Wen  Yin Da-Li  Zhang Jia-Dong  Wang Xi-Hong  Zhou Bin-Li  Zhao Dong
Affiliation:Zhang Yong-Fu,Li Hong-Wei,Huang Wen-Cheng,Chu Gong-Ren,Shi Xi-Wen,Yin Da-Li,Zhang Jia-Dong,Wang Xi-Hong,Zhou Bin-Li,Zhao DongDepartment of Neurosurgery,People's Hospital of Henan Province,Zhengzhou 450003 Department of Imaging,People's Hospital of Henan Province,Zhengzhou 450003
Abstract:31 patients with cysticercosis of cerebral ventricles verified by operation or pathological investigation were reported. All patients were between 7 and 64 years of age and 14 were females. All had a single cyst. Since 29 patients (94%) were without a history of intestinal taeniasis, it was proposed that most patients of cysticercosis of cerebral ventricles were caused by hetero-infection and the entrance of Cysticercus into brain ventricle was through choroid plexus along the cerebro-spinal fluid. This is probably the reason why it occurs mostly in the 4th ventricle. The clinical manifestation of cysticercosis of cerebral ventricles were paroxysmal headache and vomiting caused by increased intracranial pressure. Ventricu-lography and CT scanning have considerable diagnostic value. Removal of Cysticercus by surgical operation is successful (Figs. 1 - 8).
Keywords:Cysticercosis  cerebral ventricles  diagnosis  operation  post-ventriculograpy  CT scanning
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