Miller Fisher综合征1例及其与Bickerstaff脑干脑炎的鉴别
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摘要
目的 Miller fisher综合征1例及其与Bickerstaff脑干脑炎(BBE)的鉴别。方法分享1例我院fisher综合征患者的临床资料,并综合文献,阐述疾病的临床特点及发病机制、治疗方法,并且与BBE相鉴别。结果此患者表现为四肢乏力、共济失调、眼外肌麻痹、视物双影、及腱反射减弱,化验脑脊液未见有明显蛋白-细胞分离,治疗好转出院。进一步阐述BBE与此病的鉴别要点。结论 MFS与BBE的鉴别主要依靠病史及临床表现,做到早期诊断早期治疗。
Objective One of the Miller Fisher syndrome and make a differential diagnosis with Bickerstaff brainstem encephalitis. Methods Shere the clinical data of 1 patient treated in our hospital.analyse and reviewe it with literture. Results Patient presents with weakness of limbs, ataxia,external ophthalmoplegia,doubie vision and araflex,teast the CSF is normal,the treatment effect is well.The next make a differential diagnosis with Bickerstaff brainstem encephalitis. Conclusion The diagnosis between MFS and BBE are rely on medical history and clinical manifestation.achieve early diagnosis and early treatment.
Objective One of the Miller Fisher syndrome and make a differential diagnosis with Bickerstaff brainstem encephalitis. Methods Shere the clinical data of 1 patient treated in our hospital.analyse and reviewe it with literture. Results Patient presents with weakness of limbs, ataxia,external ophthalmoplegia,doubie vision and araflex,teast the CSF is normal,the treatment effect is well.The next make a differential diagnosis with Bickerstaff brainstem encephalitis. Conclusion The diagnosis between MFS and BBE are rely on medical history and clinical manifestation.achieve early diagnosis and early treatment.
引文
[1]王志丽,谭利明,赵鑫.Bickerstaff脑干脑炎和Millerfisher综合征免疫调节治疗疗效的对比研究[J].中风与神经疾病杂志,2015,32(5):441-445.
[2]张娜,欧阳陶辉,康慧聪,等.Millerfisher综合征22例临床分析[J].神经损伤与功能重建,2013,(1):36-39.
[3]王志丽,杨利,谭利明.Miller-Fisher综合征和Bickerstaff脑干脑炎:抗GQ1b抗体综合征[J].中国神经免疫学和神经病学杂志,2014,21(2):130-133.
[4]李海荣,齐明华.脑干脑炎的临床特征与预后分析[J].医学临床研究,2004,21(1):30-32.
[5]张立洁,刘金华,毕玉清,等.15例脑干脑炎临床分析[J].心脑血管病防治,2006,6(4):719-720.
[6]于克文,许业宦,王萍.16例脑干脑炎临床研究[J].黑龙江医学,2011,35(6):430-431.
[2]张娜,欧阳陶辉,康慧聪,等.Millerfisher综合征22例临床分析[J].神经损伤与功能重建,2013,(1):36-39.
[3]王志丽,杨利,谭利明.Miller-Fisher综合征和Bickerstaff脑干脑炎:抗GQ1b抗体综合征[J].中国神经免疫学和神经病学杂志,2014,21(2):130-133.
[4]李海荣,齐明华.脑干脑炎的临床特征与预后分析[J].医学临床研究,2004,21(1):30-32.
[5]张立洁,刘金华,毕玉清,等.15例脑干脑炎临床分析[J].心脑血管病防治,2006,6(4):719-720.
[6]于克文,许业宦,王萍.16例脑干脑炎临床研究[J].黑龙江医学,2011,35(6):430-431.