摘要
研究纽约地区18例脑弓形体病尸检材料,弓形体病仅见于脑部者9例。神经系统表现:(1)弥漫性脑病(14例);(2)局部性异常(12例);(3)脑膜刺激征(3例)。脑部病变为坏死伴炎症者12例。诊断以发现囊型民政弓形体和速殖子为依据。脑CT扫描,血清弓形体抗体体测定和病理学检查有助于诊断。
Eighteen autopsy cases of cerebral toxoplasmosis in New York were studied.Toxoplasmosis were exclusively in the brain in 9 cases and disseminated in the other 9 cases.The neurological appearance of cerebral toxoplasmosis consisted of(1)diffuse encephalopathy(14 cases),(2)focal abnormalities(12 cases)and(3)signs of meningeal irritation(3 cases).The cerebral lesions manifested themselves as necrosis and inflammation in 12 cases.The diagnoses were all based on finding encysted toxplasma and tachyzoites.Brain CT scan,evaluations of toxoplasma serum antibodies and pathological examination are of help for the diagnosis of cerebral toxoplasmosis.
作者
刘德纯
林清森
Venkataseshan VS
Liu De-chun;Lin Qing-sen;Venkataseshan VS(Department of Pathology.Bengbu Medicai College,Bengbu,Anhui 233003;不详)
