大脑血吸虫病较少见。国内有关本病的临床、病理报告,在解放前并无所闻;解放后有关报导也较少,特别是经病理确诊的为数不多。据我们查到的文献资料粗略统计,至目前为止,国内已报告经病理证实的脑血吸虫病共有31例,其中活检23例,尸检8例。大脑血吸虫病临床有急、慢性二型。前者可类似脑(膜)炎,后者则多有局限性癫痫或类似脑瘤的表现。肉芽肿多属慢性型,术前较难确诊,易误诊为脑瘤。我们于1979年外检中曾遇到一例大脑血吸虫病性肉芽肿,临床也误诊为脑肿瘤。现报告如下,以供同道们参考。病例报告患者男,19岁,安徽巢县人,芜湖市某厂车间杂勤工。因经常头昏、头痛渐加剧年余,进食后频繁呕吐半月而来我附院就诊。 Schistosomiasis is less common in the brain. The domestic clinical and pathological reports on this disease did not get any pre-liberation reports. There were also fewer reports after the liberation, especially one of the few diagnosed by pathology. According to the rough statistics we found in the literature, up to now, there are 31 cases of pathologically confirmed cerebral schistosomiasis in our country, of which 23 were biopsy and 8 were autopsy. Clinical schistosomiasis acute, chronic type II. The former can be similar to brain (membranous) inflammation, the latter is more limited to the performance of epilepsy or similar brain tumors. Granuloma mostly chronic type, preoperative diagnosis is more difficult, easily misdiagnosed as brain tumor. We have encountered in 1979 a foreign case of schistosomiasis granuloma, clinical misdiagnosed as brain tumors. The report below is for reference of fellow citizens. Case report Male patient, 19 years old, Chao County, Anhui Province, Wuhu City, a plant workshop odd jobs. Due to frequent dizziness, headache gradually increased more than a year, frequent vomiting after eating half a month to come to my hospital.