弓形蛔虫病引起中枢神经系统性损害有关的临床综合征,包括内眼炎、脑炎和癫痫。本文报告1例横贯性脊髓炎在脑脊液中找到弓形蛔蚴虫。患者,女,43岁。因急性尿潴留住院,入院前2周有自觉发热等上呼吸道感染症状。入院后2天,患者变得迟钝、淡漠、颈硬,下肢无力而无感觉缺失,腱反射亢进,屈性(足庶)反应。眼底静脉充盈,但无视乳头水肿。视野正常。血白细胞计数为9.0×10/L,嗜酸性白细胞8％,血清钠(115mmol/L)和氯(85mmol/L)浓度低,血浆渗透压低,为230mosmol/kg,尿渗透压高,为452mosmol/kg。头颅X线和电子计算机断层脑扫描正常。脑电图呈弥漫性δ波。临床诊断为横贯性脊髓炎伴抗利尿激素分泌过多 Ascariasis causes clinical syndromes associated with central nervous system damage, including endophthalmitis, encephalitis and epilepsy. This article reports a case of transverse myelitis in the cerebrospinal fluid to find bow-shaped worm. Patient, female, 43 years old. Due to acute urinary retention in hospital, 2 weeks before admission there are conscious fever and other symptoms of upper respiratory tract infection. Two days after admission, the patient becomes retarded, indifferent, stiff neck, weakness of the lower extremities without loss of sensation, hyperreflexia of the tendon, and reflex (adequate) response. Fundus filling, but ignore the nipple edema. Field of vision is normal. Blood leukocyte count was 9.0 × 10 / L, eosinophil 8%, serum sodium (115 mmol / L) and chlorine (85 mmol / L) were low, plasma osmolality was low at 230 mosmol / kg and urine osmolality was 452 mosmol / kg. Skull X-ray and computed tomography were normal in brain scans. EEG was diffuse δ wave. Clinical diagnosis of transverse myelitis with antidiuretic hormone hypersecretion