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患者,男,33岁,山东宁阳县人,8个月前出现头痛头晕,有时头痛剧烈,不伴发烧,恶心呕吐。2个月前发现皮下结节,一个半月前来我所就诊,查体见有3个质韧,活动,无压痛的结节。囊虫间接血凝(IHA)试验阳性,囊虫皮试阳性,脑CT扫描见双侧大脑半球多发片状低密度区,内可见散在多发点状高密度区。腰穿测脑压为250mmH_2O,脑脊液细胞数为9×10~6/L中性粒细胞11%,淋巴细胞88%,嗜酸粒细胞1%。糖、蛋白和氯化物均正常;脑脊液囊虫IHA阳性,酶联免疫吸附试验阳性。诊断为脑囊虫病高颅压型,给脱水剂降颅压。半个月后头痛缓解,选用中药干芜散治疗,观察6d无反应出院。出院后患者能
Patients, male, 33 years old, Ningyang County, Shandong, 8 months ago, headache dizziness, sometimes severe headache, without fever, nausea and vomiting. Subcutaneous nodules found 2 months ago, a month and a half ago to my clinic, physical examination found that three quality toughness, activity, no tender nodules. Cysticercosis indirect hemagglutination (IHA) test was positive, positive test for cysticercosis, brain CT scan seen multiple bilateral cerebrum hemispherical low-density area, scattered in multiple spots visible high-density area. Lumbar puncture measured intracranial pressure of 250mmH_2O, cerebrospinal fluid cell number 9 × 10 ~ 6 / L neutrophils 11%, lymphocytes 88%, eosinophils 1%. Sugar, protein and chloride were normal; CSF positive IHA, ELISA positive. Diagnosis of cerebral cysticercosis High intracranial pressure, dehydration agent to reduce intracranial pressure. Half a month after the headache relief, the choice of Chinese medicine dry Wu San treatment, observation 6d no response to discharge. After discharge the patient can