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目的 :研究头痛在脑囊虫病的分型、诊断和治疗中的特点 ;方法 :观察了 1 40 0例脑囊虫病人 ,其中 730例以头痛为首发症状。本文对 730例头痛病人从脑囊虫病的分型、诊断、影像和治疗中观察了他们的特点 ;结果 :脑室型头痛以发作性为特点伴有Brun’s征 ;脑膜型头痛以持续性头痛为特点伴有发热 ;脑实质型以颅压高性头痛或非颅压高性头痛为特点。所有经药物治疗的囊虫病人均有头痛的加重反应 ;一般发生在药物治疗的平均 1 4天 ,头痛反应时间和程度与活囊虫的数量和药物剂量有关。结论 :头痛是脑囊虫病人鉴别诊断和治疗反应及预后判定的重要指标。
OBJECTIVE: To study the characteristics of headache in the classification, diagnosis and treatment of cerebral cysticercosis. Methods: One hundred and forty cases of cerebral cysticercosis were observed, of which 730 cases had headache as their first symptom. In this paper, 730 patients with headache were observed from the classification, diagnosis, imaging and treatment of cerebral cysticercosis. Their characteristics were observed. Results: Ventricular-type headache was characterized by episodes of Brun’s syndrome. The meningeal-type headache was characterized by persistent headache Have fever; brain parenchyma with high intracranial pressure or non-intracranial pressure headache is characterized by high. All drug-treated cysticercosis patients have headache aggravating reactions; usually occurs in the average 14 days of drug treatment, headache reaction time and extent and the number of cysticercosis and drug dose. Conclusion: Headache is an important indicator for the differential diagnosis, treatment response and prognosis of patients with cysticercosis.