脑血吸虫肉芽肿12例漏误诊分析

血吸虫病是发生于长江流域的寄生虫病 ,近年来随血吸虫病患病率的增加 ,脑血吸虫肉芽肿的发病率也明显上升。现就我院 1995年 1月～ 1999年 10月误诊的 12例脑血吸虫肉芽肿总结分析如下。1　临床资料本组男 8例 ,女 4例 ,年龄 5～ 5 6岁 ,平均 42岁 ,均有疫水接触史。临床表现均有头痛、头昏 ,其中以癫痫病就诊者 6例 ,以偏瘫就诊者 3例 ,以精神行为异常就诊者 2例 ,以言语功能障碍就诊者 1例。头颅ＣＴ平扫 增强 ,病变位于顶叶 7例 ,额叶 3例 ,颞叶 2例。本组 12例术前根据病史及ＣＴ表现均诊断为脑胶质瘤。2　结果本组 12例均行肿块切除…     

脑血吸虫肉芽肿11例报告

<正> 我院自1992年6月至1995年6月收治脑血吸虫肉芽11例。其中手术6例,口服吡喹酮治疗5例,疗效满意。现报告如下: 一、临床资料 1.一般资料:本组男性7例,女性4例;年龄最大为57岁,最小为4岁,平均年龄37.5岁;病程最长一年,最短一个月,平均6个月。 2.主要临床表现:头痛、头昏、恶心、呕吐8例;癫痫发作7例;肢体偏瘫5例;视乳头水肿7例;左眼视力障碍、视野鼻侧缺损1例;中枢性面瘫5例;锥体束征阳     

CT诊断脑血吸虫肉芽肿10例

<正> 脑血吸虫肉芽肿在血吸虫流行区并不少见,但因其临床和CT表现缺乏特征性,多误诊为脑肿瘤。现就我院自引进CT以来,CT诊断脑血吸虫性肉芽肿10例的体会报告如下。 1 临床资料 1.1 一般资料:本组10例,男6例,女4例。年龄5—52岁,平均28.2岁。临床表现:单瘫4例,癫痫3例,癫痫合并单瘫2例,头痛、呕吐等典型颅高压症状者1例。10例中,经药物诊断性治疗确诊4例,CT提示诊断2例,误诊4例,多误诊为胶质瘤与脑转移     

脑血吸虫性肉芽肿的CT表现

目的：探讨脑血吸虫性肉芽肿的CT特点及CT对本病的诊断价值。方法：回顾分析9例脑血吸虫肉芽肿的CT与临床资料，其中4例经手术病理证实，另5例经实验室检查及吡喹酮试验治疗后临床确诊。所有病例均做平扫及增强扫描。5例吡喹酮治疗后15d-30d后复查CT。结果：9例共11个病灶位于皮层及皮层下区，表现为单个或多个聚集的类圆形或不规则形结节，大小1．0cm-4．0cm。平扫为等或略高密度，增强后呈不均匀强化，周围有较宽的低密度带，且有占位效应。5例吡喹酮治疗后，病灶缩小或消失。结论：脑血吸虫性肉芽肿有较典型的CT的表现．结合临床、实验室检查及试验性治疗可确诊。     

血吸虫卵性肉芽肿形态计量方法的研究进展与展望

血吸虫卵性肉芽肿形态计量方法的研究进展与展望胡雪梅综述冯义生审校（寄生虫学教研室，２５６６０３）血吸虫卵性肉芽肿形态计量研究，即用不同的测量手段对血吸虫卵性肉芽肿形成过程的不同时期进行跟踪观察，以阐明其发生发展过程中的动态形态学特征，从而为研究血吸虫...     

脑曲霉菌性肉芽肿误诊为结核瘤1例报告

1 临床资料患者男,19岁,突然意识不清5 min,于1995年10月9日入地方医院,头部CT示左颞顶叶占位病变,诊断为胶质瘤,行开颅手术,近全切除肿瘤,去骨瓣减压,病理报告结核瘤。术后抗结核治疗,痊愈出院。1996年10月因言语不清、右肢体无力、行走困难1月行复查,头部MRI示左颞顶叶巨大占位病灶,为肿物复发,收入我院。查体：无发热,骨窗处张力高,言语不清,右侧肌力Ⅲ级,右侧Babinski氏征阳性。实验室检查：血象及肝肾功能正常。脑脊液无色、透明,细胞总数2×106/L,糖4.5 mmol/L,蛋白质2.23 g/L,氯化物137 mmol/L ,培养无真…     

富亮氨酸胶质瘤失活1蛋白自身抗体相关边缘性脑炎1例

目的:报道1例富亮氨酸胶质瘤失活1蛋白(l eucine-rich glioma inactivated 1,LGI1)自身抗体相关边缘性脑炎的临床特点.方法:患者女性,76岁,出现认知功能下降、面-臂肌张力障碍样发作半年,伴低钠血症,血清抗LGI1抗体阳性,对该患者进行PET-CT检查.结果:PET-CT示患者双侧壳核代谢增高,其他区域出现代谢减低,静脉用免疫球蛋白治疗后症状好转.结论:LGI1自身抗体相关边缘性脑炎可以出现基底节的高代谢和面-臂张力障碍痫性发作.     

Large pyogenic granuloma: a case report

Though pyoginic granuloma is a common occurrence in the oral cavity, it has got particular significance because of its unexpected clinical course. Here a case of large pyogenic granoloma is presented in a 30-year-old female reported at the dental OPD of VSS Medical College and Hospital, Burla with the complaint of a growth in the mouth from the right upper last tooth since one and half years associated with difficulty in swallowing and breathing. The lesion was excised under local anaesthesia along with extraction of upper right second molar. The patient recovered without any complication and there was no recurrence even after one year.     

Nasal glioma: A case report

Here we describe a rare case of nasal glioma in a 14 year old boy who presented with history of right nasal obstruction and nasal discharge since 6 months. On examination a pale mass was seen filling the right nasal cavity and extending down in the oropharynx. Clinical impression was antrochoanal polyp. Excision of the mass was carried out and sent for histopathology which showed presence of glial tissue and the diagnosis was made as nasal glioma. Key words: nasal gliomas, congenital mass, encephalocele.     

Midline lethal granuloma complicating pregnancy: case report

A case of midline lethal granuloma in a 28-year- old female Nigerian patient is reported. Oral, ocular and nasal lesions were present and these preceded a spontaneous abortion of a three month old pregnancy. The clinical course of the disease and its similarity to other granulomatous diseases, which are generally classified as midline granuloma syndrome, are highlighted. The prognosis is poor but early diagnosis and treatment appears to improve a patient's condition     

Barium poisoning： one case report

A18-year-old man was admitted to the hospitalbecause of vomiting,diarrhea and worsening paralysis.The onset of symptoms,vomiting and diarrhea hasbeen sudden for two hours.Shortly after that,general-ized flaccid weakness developed,and he began to havean intense aching pain in the muscles of his legs.AlsoHe was unable to walk without assistance.After onehour and thirty minutes,he was noted with mild short-ness of breath.His mother brought him to the emergen-cy department of this hospital at7pm.…     

枢椎嗜酸性肉芽肿1例报告

目的 探讨颈椎嗜酸性肉芽肿临床特点及治疗.方法 报告我院1例枢椎嗜酸性肉芽肿病例,结合国内外文献资料,对颈椎嗜酸性肉芽肿的临床特点、诊断、鉴别诊断及治疗进行总结.结果 枢椎嗜酸性肉芽肿的临床表现无特异性;影像学上表现为溶骨性破坏并周围软组织包块,须与脊柱恶性肿瘤、骨囊肿、脊柱结核、化脓性脊柱炎等相鉴别;颈椎嗜酸性肉芽肿的主要治疗方法是手术治疗和放射治疗.结论 影像学检查和病理活检是确诊的关键,嗜酸性肉芽肿以采用手术和放疗治疗为主.     

胶原性结肠炎1例报告

1 病例资料患者女,54岁,因反复眼睑及双下肢浮肿1年余、腹泻2月入院。近2月来出现水样腹泻,10~20次/d,伴里急后重、肠鸣,无腹痛、脓血及粘液便。检查：腹部膨隆,大量腹腔积液。腹部CT、盆腔MRI、肝肾功能、血便常规、甲状腺功能、自身免疫指标、癌胚抗原均未见异常。血白蛋白明显低下,尿蛋白阴性。X线钡餐示胃粘膜较粗大,分布紊乱。结肠镜检查：全结肠粘膜弥漫性充血、水肿。临床诊断：溃疡性结肠炎？取结肠粘膜组织活检。病理检查：大体检查见结肠粘膜组织6块,灰白色,芝麻大小;镜下检查见肠粘膜隐窝结构存在,粘膜上皮下嗜…