笔者遇到1例以精神障碍为首发症状的脑囊虫病患者,现报告如下。 患者李××,男性,36岁,小学文化程度,农民。家族中无癫痫及精神疾病史,病前体健,性格开朗。因兴奋语多、夸大、妄闻20天就诊。20天前无明原因出现兴奋话多、少眠、易怒、骂家人及小孩,吹嘘自已要当“村长”,要办砖瓦厂,经常妄称院外有人喊他、骂他,气冲冲地外出寻找,在街上乱骂。病后无抽搐、头痛及神志不清史,无感胃发烧史,不承认自己有病,拒绝 I met a case of mental disorders as the first symptom of cerebral cysticercosis patients, are as follows. Patient Li × ×, male, 36 years old, primary education, farmer. No family history of epilepsy and mental illness, physical health before, cheerful. Due to more excitement, exaggerated, excuse me 20 days treatment. Twenty days ago there is no reason why more excitement, less sleep, irritability, scolding the family and children, bragging about their own to be “village chief”, to do brick and tile factory, often falsely claimed that someone outside the hospital shouted him, scolded him, angrily Going out looking, scolding in the street. No convulsion after illness, headache and delirious history, no sense of history of stomach fever, do not recognize their own illness, refused