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題 名 | Cerebral Sparganosis: Case Report=腦部幼絛蟲感染:病例報告 |
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作 者 | 陳廷耀; 呂鎮中; 陳翰容; 劉嘉為; | 書刊名 | 長庚醫學 |
卷 期 | 22:2 1999.06[民88.06] |
頁 次 | 頁287-292 |
分類號 | 415.291 |
關鍵詞 | 幼絛蟲感染; 電腦斷層; 核磁共振; 血清免疫學; 治療; Sparganosis; Computed tomography; Magnetic resonance image; Enzyme-linked immunosorbent assay; ELISA; Treatment; |
語 文 | 英文(English) |
英文摘要 | A 19-year-old man visited our hospital following an attack of general tonic-clonic convulsion. Multiple lesions were noted over bilateral frontal areas on brain computed tomography and magnetic resonance images. The diagnosis was confirmed by positive antibody for sparganum using enzyme-linked immunosorbent assay (ELISA). Praziquantel, 2400 mg/d for one month, was prescribed before the antibody test results came out and the treatment failed. Total removal of the lesion and the encolsed parasite cured the patient. Although the features of cerebral sparganosis on brain computed tomography and magnetic resonance images have been previously described, the findings were not specific and the present case exhibited some different patterns including bilateral multiple calcifications and ventricular compression. The significance of the bilateral involvement is not known but the ventricular compression suggests that the disease was in an active stage. Imaging studies appear to only provide some clues for the diagnosis of sparganosis. Bilateral involvement may be se早產及心臟衰竭使得週產期之死亡率高達 50 %。一旦診斷確立,以各種方式阻斷胎兒之間 之血流將是確保正常胎兒有較好生存機會之方法,但若無一詳細之術前評估而冒然採取侵襲 性之手術將對正常胎兒有不利之影響。本案例為一 21 歲,單胎次,妊娠 28 週產婦合併雙 胞胎無心畸胎,臨床上以密集監測正常胎兒之方式處理,並回顧文獻之病例以探討其最合適 之處理方法。 |
本系統中英文摘要資訊取自各篇刊載內容。