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(报告2例并1例5年随访结果良好) 本文报告2例儿童的脑包虫病。1例因就医延误而死亡。另1例在切除脑和肝的包囊虫后5年无复发。文中讨论了以下诸问题。临床表现:脑包虫囊肿通常为单发、分布于大脑中动脉的供应区内。多发性囊肿可发生于下列情况:一个以上的蚴侵袭脑;脑内包虫囊肿自发性破裂;心脏包虫囊肿破入左心室内发生栓塞;脑室造影或脑手术时发生的医源性蔓延。症状均与颅内压增高有关,即头痛、呕吐。约50％病人出现癫癎发作。体检可能发现视乳头水肿或视野缺损。亦可发
(2 cases reported and 1 case 5-year follow-up results were good) This paper reports 2 cases of children with echinococcosis. One died of medical treatment delay. The other 1 case had no recurrence 5 years after resection of brain and liver cysticercosis. The article discusses the following issues. Clinical manifestations: Brain hydatid cysts are usually single, distributed in the supply area of the middle cerebral artery. Multiple cysts can occur in the following situations: more than one echinococcosis of the brain; spontaneous rupture of the hydatid cyst in the brain; hydatid cyst ruptured into the left ventricular embolization; iatrogenic or brain surgery occurred iatrogenic spread. Symptoms are associated with increased intracranial pressure, headache, vomiting. About 50% of patients with epileptic seizures. Physical examination may find papilledema or visual field defects. Can also be made