Tomiyasu K, Imai A, Yoshida R, Nakazawa K, Yamazaki K
Department of Neurology, Saiseikai Utsunomiya Hospital.
Rinsho Shinkeigaku. 1999 Jun;39(6):665-9.
We reported a 24-year-old Thai woman who developed primary CNS lymphoma (PCNSL) associated with acquired immunodeficency syndrome. It was difficult to distinguish PCNSL from toxoplamic encephalitis in this case by clinical symptoms, findings of CT and MRI, and therapeutic responses for toxoplasmosis. It is important to make a definite diagnosis of PCNSL by brain biopsy to treat appropriately, because this disorder could be fatal if it is not treated by corticosteroid, radiation, or other proper methods.
我们报告了一名24岁的泰国女性，她患上了与获得性免疫缺陷综合征相关的原发性中枢神经系统淋巴瘤（PCNSL）。在该病例中，根据临床症状、CT和MRI检查结果以及对弓形虫病的治疗反应，很难将PCNSL与弓形虫性脑炎区分开来。通过脑活检对PCNSL做出明确诊断对于进行适当治疗很重要，因为如果不采用皮质类固醇、放疗或其他适当方法进行治疗，这种疾病可能会致命。
