【摘要】 报告经手术和病理证实的脑室囊虫病 31例,均为单个囊虫,位于四脑室 24例,三脑室3 例,侧脑室 4例。经脑室造影 CT扫描诊断的 3例四脑室囊虫病患者手术时,囊虫已进入枕大池,1 例三脑室囊虫移到侧脑室引流管处。因此,临床上诊断某一脑室内囊虫,手术探查该脑室中未见囊虫时,应沿脑脊液流动方向查找。更多还原

【Abstract】 31 patients with cysticercosis of cerebral ventricles verified by operation or pathological investigation were reported. All patients were between 7 and 64 years of age and 14 were females. All had a single cyst. Since 29 patients (94%) were without a history of intestinal taeniasis, it was proposed that most patients of cysticercosis of cerebral ventricles were caused by hetero-infection and the entrance of Cysticercus into brain ventricle was through choroid plexus along the cerebro-spinal fluid. This is probably the reason why it occurs mostly in the 4th ventricle. The clinical manifestation of cysticercosis of cerebral ventricles were paroxysmal headache and vomiting caused by increased intracranial pressure. Ventricu-lography and CT scanning have considerable diagnostic value. Removal of Cysticercus by surgical operation is successful (Figs. 1 - 8).更多还原