[Treatment and nursing of a cysticercosis patient with multiple foci].

OBJECTIVE: To analyze the relevant data, including medical history, treatment and nursing of one cysticercosis patient with multiple foci in Baise City, so as to provide the evidence for improving the treatment and nursing of cysticercosis in the future. METHODS: The data of diet history, diagnosis, treatment and nursing of the patient were collected and analyzed. RESULTS: The patient was a permanent resident in a cysticercosis high endemic area and had a definite history of eating measly pork. The combination of clinical manifestations and auxiliary examinations of the patient confirmed that he was suffered from cysticercosis with multiple foci. After the patient was firstly administered the antiparasitic treatment of cysticercosis (praziquantel), he had status epilepticus. However, with the close cooperation between physicians and nurses, his illness obviously improved and 35 days later, he discharged. CONCLUSIONS: The physicians and nurses should pay much attention to the changes of illness of the patients with cysticercosis, especially the cysticercosis patients with multiple foci in the antiparasitic treatment of cysticercosis, so as to avoid cerebral herniation due to the increased intracranial pressure.

Simple partial status epilepticus localized by single-photon emission computed tomography subtraction in chronic cerebral paragonimiasis.

A patient with chronic cerebral paragonimiasis began to have new motor seizures of the right face manifested by clonic contractions that occurred several hundred times a day, consistent with simple partial status epilepticus. Ictal electroencephalogram discharges started from the left frontal region and then spread to the left hemisphere with left frontal maximum. But clinical seizures were limited to the right face. The frequent partial seizures were controlled by the intravenous infusion of phenytoin. Brain magnetic resonance imaging showed multiple conglomerated round nodules with encephalomalacia in the left temporal and occipital lobes. Applying the technique of ictal-interictal single-photo emission computed tomography subtraction, the authors were able to localize the focal ictal-hyperperfusion on left precentral cortex adjacent to the lesions that correspond to the anatomical distribution of left face motor area.