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| 1 | 28例脑囊虫病手术治疗方法及效果分析显示文摘目的总结脑囊虫病的手术治疗方法,并分析治疗效果。方法脑囊虫病患者28例,采用开颅显微镜下囊虫摘除术治疗6例、脑室-腹腔分流术(VP)治疗6例、第三脑室底造瘘术(ETV)治疗14例、单纯行内镜下脑室囊虫摘除2例。术后随访,观察治疗效果。结果术后出现颅内感染2例、头痛6例、一过性动眼神经麻痹2例、硬膜下积液1例、脑积水加重1例。出院后23例经12~84个月随访,临床症状、体征改善19例,无变化3例,死亡1例。采用开颅显微镜下囊虫摘除及单纯行内镜下脑室囊虫摘除患者的临床症状、体征均改善。行VP治疗的6例患者中,2例因分流管梗阻需再次手术治疗;行ETV治疗的14例患者中,6例因脑积水导致颅内压增高,症状缓解不理想,再次行VP治疗;再次治疗后症状、体征均改善。结论脑囊虫病根据囊虫部位及临床、影像学表现个性化选择手术治疗方案的治疗效果较好。 | 李储忠 刘春晖 宗绪毅 桂松柏 白吉伟 曹磊 王新生 | 2015 | 山东医药2015，55，32： | 6 |
| 2 | Intraventricular neurocysticercosis: Presentation, diagnosis and management显示文摘Neurocysticercosis is thought to be the most common helminthic infection of the central nervous system and its epidemiology is changing due to increasing travel and migration.Evidence to guide management of the intraventricular form is limited.We aimed to review the clinical presentation,diagnosis and treatment of intraventricular neurocysticercosis with reference to two recent cases seen at our institution.The intraventricular variant of neurocysticercosis is less common than parenchymal disease and usually presents with acutely raised intracranial pressure and untreated it progresses rapidly with high mortality.The diagnosis is based on imaging and serological tests but more invasive testing including histopathological examination of surgically acquired tissue specimens is sometimes required.Treatment is mainly surgical,using a neuroendoscopic approach if possible.Patients should also receive antihelmintic treatment with concomitant corticosteroids to reduce the incidence of shunt failure if a ventricular shunt is inserted and to treat viable lesions elsewhere. | Tomas Ostergaard Jensen Jeffrey John Post | 2016 | Asian Pacific Journal of Tropical Medicine2016，9，8： | 0 |
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