Akdal G, Baklan B, Cakmakçi H, Kovanlikaya A
Department of Neurology, Dokuz Eylül University School of Medicine, Izmir, Turkey.
Pediatr Neurol. 2001 May;24(5):393-5. doi: 10.1016/s0887-8994(01)00267-3.
A 12-year-old male with subacute sclerosing panencephalitis is presented. Magnetic resonance imaging revealed basal ganglia involvement without white matter changes for several months. Basal ganglia changes are not infrequent in subacute sclerosing panencephalitis, but they tend to appear in advanced clinical stages. Prominent basal ganglia involvement may occur very rarely in subacute sclerosing panencephalitis. In our patient, serial magnetic resonance imaging demonstrated the involvement of white matter after 2 years of magnetic resonance imaging follow-up. In contrast with the neuroradiologic progression, our patient's clinical status remained stable.
本文报告了一名患有亚急性硬化性全脑炎的12岁男性。磁共振成像显示基底节受累,数月来白质无变化。基底节改变在亚急性硬化性全脑炎中并不少见,但往往出现在临床晚期。在亚急性硬化性全脑炎中,显著的基底节受累可能非常罕见。在我们的患者中, 经过2年的磁共振成像随访,系列磁共振成像显示白质受累。与神经放射学进展相反,我们患者的临床状态保持稳定。