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报告脑猪囊虫病并发脑梗塞2例,并复习了文献中14例。综合其特点均为来自囊虫病变区,以青壮年男性多,临床均无高血压、高血脂等常见脑血管病及危险因素,均为颈内动脉系统血管受累。表现以腔隙性脑梗塞多,CSF可呈轻度炎性改变,囊虫酶联免疫试验(ELISA)血及CSF均阳性,CT或MRI常见梗塞灶与脑囊虫并存,尤其同侧鞍上或(和)大脑外侧裂有囊虫聚集,有时还可见导水管粘连阻塞之脑积水;脑血管造影可直接显示颅内大血管闭塞或节段性狭窄;发病机理主要为颅底血管炎性内膜炎或血管直接受囊虫、脑水肿、炎症等压迫。
Two cases of cerebral cysticercosis and cerebral infarction were reported and 14 cases were reviewed. The characteristics are all from the cysticercosis area to young men and more, no clinical hypertension, hyperlipidemia and other common cerebrovascular disease and risk factors, are internal carotid artery vascular involvement. The performance of lacunar infarction and CSF showed mild inflammatory changes, cysticercosis enzyme-linked immunosorbent assay (ELISA) were positive for blood and CSF, CT or MRI common infarction and cerebral cysticercosis, especially ipsilateral suprasellar or ( And) outside the brain cracked cysticercosis, sometimes visible aqueduct obstruction of hydrocephalus; cerebral angiography can directly show intracranial vascular occlusion or segmental stenosis; pathogenesis of the main skull base vascular inflammatory endometrium Inflammation or blood vessels directly by the cysticercosis, cerebral edema, inflammation and other oppression.