被延迟诊断的急性播散性脑脊髓炎1例报告
摘要
<正>急性播散性脑脊髓炎(acute disseminated encephalomuelitis,ADEM)是中枢神经系统脱髓鞘疾病及危重症之一,常引起严重的神经功能障碍,具有较高的致残率和死亡率。由于目前ADEM仍缺乏统一的诊断标准,且起病急,成人少见,在临床实践中极易被误诊。本文报道我科收治的被延迟诊断的急性播散性脑脊髓炎1例,旨在提高临床医生对该疾病的认知。1临床资料患者,男,35岁,于入院7 d前无明显诱因出现头痛,伴
引文
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[10]刘建国,乔文颖,董秦雯.累及胼胝体的急性播散性脑脊髓炎临床及影响特点[J].中华医学杂志,2012,92(43):3036-3041.
[11]Lakhan SE.Teaching neuroimages:MRI time lag with acute disseminated encephalomyelitis[J].Neurology,2012,78(22):e138-139.
[12]Noorbakhsh F,Johnson RT,Emery D,et al.Acute disseminated encephalomyelitis:clinical and pathogenesis features[J].Neurol Clin,2008,26(3):759-780.
[13]中华医学会结核病学分会.颅内结核影像学分型专家共识[J].中华结核和呼吸杂志,2015,38(11):805-809.
[14]李军霞,陈颜强,赵青.结核性脑膜炎临床特点脑脊液及影像学表现的相关研究[J].中国实用神经疾病杂志,2017,20(10):23-26.
[15]杨利霞,任永芳,贾文霄.颅内结核MRI表现及分型的研究[J].中国CT和核磁杂志,2010,8(5):5-8.
[2]Leake JAD,Albani S,Kao AS,et al.Acute disseminated encephalomyelitis in childhood:Epidemiologic,clinical and laboratory features[J].Pediatric Infectious Disease Journal,2004,23(8):756-764.
[3]Marchioni E,Ravaglia S,Montomoli C,et al.Postinfectious neurologic syndromes:a prospective cohort study[J].Neurology,2013,80(10):882-889.
[4]Tenembaum S,Chamoles N,Fejerman N.Acute disseminated encephalomyelitis:a long-term follow-up study of 84 pediatric patients[J].Neurology,2002,59(8):1224-1231.
[5]Giri PP,Bhattyacharya S,Das D,et al.Acute disseminated encephalomyelitis:A clinical and neuroradiological profile of pediatric patients[J].Neurol India,2016,64(6):1187-1192.
[6]Hollinger P,Sturzenegger M,Mathis J,et al.Acute disseminated encephalomyelitis in adults:a reappraisal of clinical,CSF,EEG,and MRI findings[J].J Neurol,2002,249(3):320-329.
[7]Brinar VV,Habek M.Diagnostic imaging in acute disseminated encephalomyelitis[J].Expert Rev Neurother,2010,10(3):459-467.
[8]Krupp LB,Banwell B,Tenembaum S.Consensus definitions proposed for pediatric multiple sclerosis and related disorders[J].Neurology,2007,68(16 Suppl 2):S7-12.
[9]蔡浅云,罗蓉.急性播散性脑脊髓炎94例临床与影像学分析[J].中华实用儿科临床杂志,2011,26(6):442-444.
[10]刘建国,乔文颖,董秦雯.累及胼胝体的急性播散性脑脊髓炎临床及影响特点[J].中华医学杂志,2012,92(43):3036-3041.
[11]Lakhan SE.Teaching neuroimages:MRI time lag with acute disseminated encephalomyelitis[J].Neurology,2012,78(22):e138-139.
[12]Noorbakhsh F,Johnson RT,Emery D,et al.Acute disseminated encephalomyelitis:clinical and pathogenesis features[J].Neurol Clin,2008,26(3):759-780.
[13]中华医学会结核病学分会.颅内结核影像学分型专家共识[J].中华结核和呼吸杂志,2015,38(11):805-809.
[14]李军霞,陈颜强,赵青.结核性脑膜炎临床特点脑脊液及影像学表现的相关研究[J].中国实用神经疾病杂志,2017,20(10):23-26.
[15]杨利霞,任永芳,贾文霄.颅内结核MRI表现及分型的研究[J].中国CT和核磁杂志,2010,8(5):5-8.