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目的 探讨脑囊虫病引起的癞痫与CT、MRI特征及囊尾蚴生存状态之间的关系。材料与方法 回顾性研究1985年8月～1996年1月经寄生虫组织病理学证实的148例以癫痫为主要表现的脑囊虫病患者临床、CT、MRI及组织病理学资料,观察其癫痫发作类型、次数及程度与CT、MRI表现及囊虫生存状态之间的关系。结果 本组以部分性发展至全身强直阵挛发作为多,占82.5％,单纯部分性发作占17.5％。发作类型与病灶所在部位及周围组织水肿程度有关,而发作频率及程度只与CT、MRI所示病灶周围、水肿范围有关。同时发现水肿程度又与囊尾坳在脑组织内的生存状态有关。结论囊尾蚴在脑组织内的不同时期,在影像学上均有其对应特征,癫痫发作及与否及程度与囊虫生存状态密切相关。这对正确全面诊断,特别是制订恰当的治疗方案有重要意义。
Objective To investigate the relationship between cerebral hemorrhagic disease caused by cysticercosis and CT, MRI features and cysticercosis. Materials and Methods Retrospective study of clinical, CT, MRI and histopathological data of 148 cases of cerebral cysticercosis patients with epilepsy confirmed by histopathology of parasites from August 1985 to January 1996 were retrospectively studied. The types of seizures, The number and extent of CT, MRI performance and the relationship between the status of cysticercosis. Results This group of patients with partial development to the generalized tonic clonic seizures as much, accounting for 82.5%, a simple partial seizures accounted for 17.5%. The type of attack is related to the extent of edema in the lesion and the surrounding tissue, but the frequency and extent of the attack are only related to the extent of edema around the lesion shown by CT and MRI. Also found that the degree of edema and the cystica in the brain tissue of the living conditions. Conclusion Cysticercus in different periods of brain tissue in the imaging has its corresponding characteristics, seizures and whether or not the degree and the status of cysticercosis are closely related. This is important for proper and comprehensive diagnosis, especially for the development of appropriate treatment options.