论文部分内容阅读
我院自1985～1988年共收治2例脑型血吸虫病,报告如下: 例1 男性 23岁 因间断性癫痫发作伴右侧偏瘫月余,于1965年11月13日入院。有疫水接触史。查体:一般情况好,右侧肢体浅感觉减退,肌力Ⅲ级,腱反射活跃,Babinski征(+)。腰穿:脑压160mmHg,脑脊液化验正常。脑超声波检查示中线波右移0.8cm。气脑造影;左侧脑室体部有受压表现。脑血管造影:胼缘动脉向下弧形移位。手术于左侧中央前回皮质下2—3cm处切涂较韧,色灰暗肿块,约蚕豆大小,周围有粟粒大圆形之韧性组织数粒。病理:镜下亦多处有上皮细胞及异物巨细胞围成的肉芽肿,其中可见1—6个退变钙化的虫卵。术后经过顺利,癫痫消失,右侧肢体肌力Ⅳ级。直肠粘膜活检找到血吸虫卵。
In our hospital from 1985 to 1988 were treated 2 cases of cerebral schistosomiasis, the report is as follows: Example 1 Male 23 years old due to intermittent seizures with right hemiplegia for more than a month, in November 13, 1965 admission. A history of exposure to water. Physical examination: the general situation is good, the right side of the limbs decreased light perception, muscle strength grade Ⅲ, tendon reflexes active, Babinski sign (+). Waist wear: brain pressure 160mmHg, normal cerebrospinal fluid test. Brain ultrasound showed moderate wave shift 0.8cm. Cerebral angiography; left ventricular body parts have compression performance. Cerebral angiography: downward displacement of the corpus callosum. Surgery on the left side of the central front cortex 2-3cm at the cut more tough, dark gray color mass, about the size of broad beans, mulberry round the circumference of a large number of toughness grains. Pathology: Microscopy also many epithelial cells and foreign body giant cells surrounded by granuloma, which can be seen 1-6 degenerative calcified eggs. After surgery, epilepsy disappeared, right limb muscle strength Ⅳ. Rectal mucosal biopsy to find schistosome eggs.