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- Title
脑裂头蚴病的诊断及手术取出活虫的经验.
- Authors
金鑫; 谭家亮; 孙祯卿; 刘朋飞; 朱丹; 闫学强; 吴杰
- Abstract
Objective To explore the clinical features, imaging features and laboratory examinations of cerebral echinococcosis, and analyze the experience of successful removal of live worms by surgery. Methods The clinical data of 36 patients with cerebral sparganosis who were treated at Department of Neurosurgery, Guangdong 999 Brain Hospital between 2001 and 2017 were analyzed retrospectively. Results All 36 patients had an unclean diet history, 37 operations were performed in 36 patients, 37 live worms were removed, and the length was between 1.5-21 cm. All patients with CT and MR examination showed that the white matter had degeneration and edema, CT had or did not have calcification, and after the enhancement of MR there was a typical “tunnel sign” and “string-of-beads”. MR after operation showed that the primary foci disappeared in 35 patients, 1 case did not disappear and appear in the rear of the operation area. Preoperative serological antibody test showed that 32 cases(88.9%) were positive or weak positive. 33 cases of epileptic seizures before operation had regular oral antiepileptic drugs for 2 years, and 31 cases(86.1%) had no seizures. Conclusion sThe disease is related to unclean eating habits. The cercariae can survive and move in the brain for a long time, and the average moving speed may be 0.74 cm per month. The diagnosis of the disease is mainly based on the clinical features, imaging features and laboratory examinations. Application of stereotactic or neuronavigation is effective to remove the living worms.
- Publication
Journal of Clinical Neurosurgery / Linchuang Shenjingwaike Zazhi, 2019, Vol 16, Issue 6, p518
- ISSN
1672-7770
- Publication type
Article
- DOI
10.3969/j.issn.1672-7770.2019.06.012