《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (8): 736-738.

• 论文 • 上一篇    下一篇

脑囊虫病患者头痛症状的原因分析及治疗对策

牛松涛1a，刘文敏1b，朱俊和1b，周衡1a   

  1. 1.首都医科大学附属北京天坛医院，a: 神经内科；b: 麻醉科，北京市 100050
  • 收稿日期:2010-07-27 修回日期:1900-01-01 出版日期:2010-08-25 发布日期:2010-08-25
  • 通讯作者: 周衡

Analysis and Treatment in Neurocysticercosis with Headache Symptoms

NIU Song-tao, LIU Wen-min, ZHU Jun-he, et al   

  1. The Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
  • Received:2010-07-27 Revised:1900-01-01 Published:2010-08-25 Online:2010-08-25

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摘要： 目的探讨脑囊虫病患者头痛症状的原因及治疗对策。方法回顾性分析2001年1月～2009年12月收治的112例伴有头痛症状的脑囊虫病患者的临床资料，依据囊尾蚴存在部位，将患者分为脑实质型囊虫病组和实质外型囊虫病组。分析造成头痛的不同原因，及不同的治疗对策，将结果进行归纳总结。结果脑实质型囊虫病患者头痛症状主要由脑水肿引起，经药物治疗，症状多数可以改善。实质外型囊虫病患者的头痛症状多由脑积水和脑水肿引起，需将药物治疗与手术治疗相结合，方可改善症状。结论多种病因可以造成脑囊虫病患者颅内压增高从而引发头痛，根据患者具体情况，将手术方法与药物疗法良好的结合，可以明显缓解患者的头痛症状，改善预后。

关键词: 脑囊虫病, 头痛, 治疗

Abstract: ObjectiveTo explore the diagnosis and treatment in neurocysticercosis with headache symptoms.MethodsThe clinical data of 112 patients suffered from neurocysticercosis with headache symptoms from January 2001 to December 2009 were analyzed retrospectively. All the patients were divided into two groups: extraparenchymal cysticercosis and intraparenchymal cysticercosis.ResultsEdema could cause headache symptoms in the paitents with intraparenchymal cysticercosis. Most of these patients could recover after medicine treatment. The patients with extraparenchymal cysticercosis, whose headache symptoms were caused by hydrencephaly and edema, usually needed surgical procedures and medical therapy.ConclusionThe treatment should be individualized because headache symptoms could result in different causes. Integration of surgical procedures and medical therapy is effective to relieve headache symptoms caused by neurocysticercosis.

Key words: neurocysticercosis, headache, treatment