脑囊尾蚴病81例磁共振分析

目的: 探讨脑囊尾蚴病的临床及磁共振(MRI)特点。方法: 对81例脑囊尾蚴病患者的临床资料和头颅MRI进行回顾性分析。结果: 81例脑囊尾蚴病头颅MRI表现分为脑实质型73例、脑室型5例和混合型3例;活虫期、退变死亡期、非活动期及混杂期四期,以脑实质型和退变死亡期最常见。杀虫治疗一般需要3~5个疗程。结论: 头颅MRI可以对脑囊尾蚴病进行准确分型、分期,为用药及疗程的确定提供依据,还可用于CT检查阴性的脑囊尾蚴病的确诊。

The MRI analysis of brain cysticercosis:A report of 81cases

Objective:To approach the feature of MRI and clinic of brain cysticercosis.Methods:The retrospective analysis was adopted in clinical data and head MRI of 81 patients with brain cysticercosis.Results:The MRI appearance included three types,which was 73 brain parenchyma type,5 encephalocoele type and 3 mixed type,four stages which was vivi-worm phase,cataplasia and death phase,inactive phase and confounding phase,brain parenchyma type and cataplasia and death phase were saw frequently among them.Generally 3-5 courses of treatment were required to anthelmintic.Conclusions:The MRI can precisely type,stage and position brain cysticercosis,it is helpful for definition in clinical medicine and course of treatment,and it is used to diagnosis CT-negative brain cysticercosis.