胃肠道弥漫大B细胞淋巴瘤合并韦尼克脑病1例
摘要
<正>胃肠道是非霍奇金淋巴瘤最常见的结外侵犯部位。原发于胃肠道的淋巴瘤在所有非霍奇金淋巴瘤中尚不足1/3,在淋巴瘤中并非常见,B细胞表型为其常见表型,其中绝大部分亚型为弥漫大细胞型。其诊断、治疗在血液科较为规范,利妥昔单抗的应用,使得胃肠道淋巴瘤的预后明显优于其他胃肠道恶性肿瘤~([1])。韦尼克脑病是一种维生素B1缺乏引起的以"眼球震颤,精神意识障碍,共济失调"三联症为主要临床表现的
引文
[1] 闫姝洁, 刘爱春. 原发胃肠道非霍奇金淋巴瘤的研究现状[J]. 现代肿瘤医学, 2015, 23(12):1764-1768.
[2] Olds K,Langlois NE,Blumbergs P,et al. The pathological features of Wernicke encephalopathy[J]. Forensic Sci Med Pathol,2014,10(3):466-468.
[3] 杨寒. 血液透析患者并发韦尼克脑病的临床诊治分析[J]. 航空航天医学志, 2017, 28 (8):957-959.
[4] Tanphaichitr V. Thiamin[M]//Shils ME, Olson JA, Shike M, Ross AC, et al. Modern nutrition in health and disease. 9th ed. Baltimore MD: Williams and Wilkins, 1999: 381-389.
[5] Iwata H. Possible role of thiamine in the nervous system [J]. Trends Pharmacol Sci, 1982, 4: 171-173.
[6] Brazg J, Ruest A, Law S, et al. A Therapeutic fast for lymphoma resulting in Wernicke encephalopathy[J]. J Emerg Med, 2015, 49(4):471-474.
[7] Antunez E, Estruch R, Cardenal C, et al. Usefulness of CT and MRI imaging in the diagnosis of acute Wemicke's encephalopathy[J].AJR,1998,171(4):1131-1137.
[8] Zuccoli G, Pipitone N. Neuroimaging findings in acute Wernicke's encephalopathy: review of the literature[J]. Ajr Am J Roentgenol, 2009, 192(2):501-508.
[9] Jung ES, Kwon O, Lee SH, et al. Wernicke's encephalopathy in advanced gastric cancer[J]. Cancer Res Treat, 2010, 42(2):77-81.
[10] De AF, De MS, Spitaleri D, et al. Non-alcoholic Wernicke-Korsakoff syndrome heralding non-Hodgkin lymphoma progression[J]. Neurological Sciences, 2018, 39(8):1493-1495.
[11] 毛福荣, 毛晓华. 静脉高营养治疗患者并发韦尼克脑病的临床分析[J]. 现代中西医结合杂志, 2008, 17 (21):3332-3333.
[12] Gregory J, Philbrick K, Chopra A. Wernicke encephalopathy in a non-alcoholic patient with metastatic CNS lymphoma and new-onset occipital lobe seizures[J/OL]. J Neuropsychiatry Clin Neurosci, 2012[2018-05-20].http://www.ncbi.nlm.nih.gov/pubmed/23224489.
[2] Olds K,Langlois NE,Blumbergs P,et al. The pathological features of Wernicke encephalopathy[J]. Forensic Sci Med Pathol,2014,10(3):466-468.
[3] 杨寒. 血液透析患者并发韦尼克脑病的临床诊治分析[J]. 航空航天医学志, 2017, 28 (8):957-959.
[4] Tanphaichitr V. Thiamin[M]//Shils ME, Olson JA, Shike M, Ross AC, et al. Modern nutrition in health and disease. 9th ed. Baltimore MD: Williams and Wilkins, 1999: 381-389.
[5] Iwata H. Possible role of thiamine in the nervous system [J]. Trends Pharmacol Sci, 1982, 4: 171-173.
[6] Brazg J, Ruest A, Law S, et al. A Therapeutic fast for lymphoma resulting in Wernicke encephalopathy[J]. J Emerg Med, 2015, 49(4):471-474.
[7] Antunez E, Estruch R, Cardenal C, et al. Usefulness of CT and MRI imaging in the diagnosis of acute Wemicke's encephalopathy[J].AJR,1998,171(4):1131-1137.
[8] Zuccoli G, Pipitone N. Neuroimaging findings in acute Wernicke's encephalopathy: review of the literature[J]. Ajr Am J Roentgenol, 2009, 192(2):501-508.
[9] Jung ES, Kwon O, Lee SH, et al. Wernicke's encephalopathy in advanced gastric cancer[J]. Cancer Res Treat, 2010, 42(2):77-81.
[10] De AF, De MS, Spitaleri D, et al. Non-alcoholic Wernicke-Korsakoff syndrome heralding non-Hodgkin lymphoma progression[J]. Neurological Sciences, 2018, 39(8):1493-1495.
[11] 毛福荣, 毛晓华. 静脉高营养治疗患者并发韦尼克脑病的临床分析[J]. 现代中西医结合杂志, 2008, 17 (21):3332-3333.
[12] Gregory J, Philbrick K, Chopra A. Wernicke encephalopathy in a non-alcoholic patient with metastatic CNS lymphoma and new-onset occipital lobe seizures[J/OL]. J Neuropsychiatry Clin Neurosci, 2012[2018-05-20].http://www.ncbi.nlm.nih.gov/pubmed/23224489.