Misdiagnosed as brain tumors cerebral schistosomiasis.doc

 PAGE \* MERGEFORMAT 14 Misdiagnosed as brain tumors cerebral schistosomiasis 【Abstract】 Objective: To analyze cerebral schistosomiasis misdiagnosed as brain tumors, causes the brain to increase the awareness and diagnosis of schistosomiasis. Methods: 17 cases of misdiagnosed cases of clinical data, CT, MRI examination, laboratory tests and pathological examinations were retrospectively analyzed to find the causes of misdiagnosis. Results: The postoperative pathological examination were schistosome granuloma. Conclusion: The cerebral schistosomiasis misdiagnosed as brain tumor, through the head MRI examination and laboratory tests can improve the diagnosis. Keywords: cerebral schistosomiasis misdiagnosed brain tumor Cerebral schistosomiasis (cerebral schistosomiasis) is less common in the clinical specificity is not strong, neurology, surgery, and radiologist awareness of the disease is often not sufficiently often misdiagnosed as brain tumors, particularly brain tumors cerebral schistosomiasis Disease easily misdiagnosed as brain tumor. We concluded in January 1994 ~ September 2004 a total of 17 cases misdiagnosed as brain tumors, cerebral schistosomiasis, are reported as follows. A clinical data 1.1 General Information A total of 17 cases of this group of patients, 10 males and 7 females. Aged 29 to 54 years old, with an average 43.4 years of age. Course of 2 months to 1 year. Schistosome infective water contact history is unknown. 1.2 Clinical manifestations All patients had varying degrees of headache, dizziness. 14 cases of vomiting associated with varying degrees of limb paralysis, 2 patients with epilepsy, 2 patients had ataxia, no significant disturbance of consciousness. 1.3 assistant examination This group of patients underwent head CT scan, CT examination showed that the 1.5 ~ 4cm oval or irregular-shaped low-density lesions, including 15 cases of a disease, 2 cases of 2 lesi