药物治疗髓内脊髓囊虫病1例报告及文献复习

Surgical Neurology Pub Date : 2009-12-01 DOI:10.1016/j.surneu.2009.06.011

Sarbjit Singh Chhiber MCh , Bikram Singh MD , Payal Bansal MD , Kamal Kumar Pandita MD , Susheel Razdan DM , Jangbahudar Singh MD

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引用次数: 33

摘要

脊髓髓内囊虫病是一种非常罕见的NCC表现，它是由猪带绦虫幼虫引起的。病例描述:我们报告一例以亚急性表现的脊髓髓内囊虫病。脊背磁共振成像及脑脊液酶联免疫吸附试验确定诊断。经过8周的药物治疗，临床放射学完全治愈。结论手术是治疗脊髓髓内囊虫病的主要方法;然而，早期诊断和药物治疗阿苯达唑和地塞米松可以避免许多患者需要手术。

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Intramedullary spinal cysticercosis cured with medical therapy: case report and review of literature

Background

Spinal intramedullary cysticercosis is a very uncommon manifestation of NCC, which is caused by the larvae of Taenia solium.

Case description

We report a case of spinal intramedullary cysticercosis who presented subacutely. Magnetic resonance imaging dorsal spine and CSF ELISA clinched the diagnosis. Eight weeks of medical therapy resulted in complete clinicoradiological cure.

Conclusion

Surgery used to be the mainstay treatment for spinal intramedullary cysticercosis; however, early diagnosis and medical therapy with albendazole and dexamethasone can obviate the need for surgery in many patients.

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来源期刊

Surgical Neurology 医学-临床神经学

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