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伴有神经受累的伊尔斯病。第2部分。病理学与发病机制。

Eales' disease with neurological involvement. Part 2. Pathology and pathogenesis.

作者信息

Dastur D K, Singhal B S

出版信息

J Neurol Sci. 1976 Mar;27(3):323-45. doi: 10.1016/0022-510x(76)90005-8.

DOI:10.1016/0022-510x(76)90005-8
PMID:1262897
Abstract

Detailed neuropathologic examination was carried out on 1 case of Eales' disease with CNS involvement, in the form of retinal vasculopathy, followed first by signs of brain stem and cerebellar disease and then by a myelopathy, with death 4 years later from retinal infection. There was mild chronic inflammation in the retina, and sub-total demyelination of one optic nerve. The brain stem and cerebellum showed extensive vasculopathy, with various stages of venous change extending from proliferation and dilatation to haemorrhage, or to thickening with hyalinisation. The perivenular brain tissue, particularly of the cerebellum, often showed demyelination, with relative axon preservation, but no inflammation. Similar, but less pronounced venopathy was seen in the dorsal cord. There was ascending degeneration of Goll's columns and descending degeneration of the lateral columns.

摘要

对1例伴有中枢神经系统受累的伊尔斯病进行了详细的神经病理学检查,其表现为视网膜血管病变,先是出现脑干和小脑疾病的体征,随后出现脊髓病,4年后因视网膜感染死亡。视网膜有轻度慢性炎症,一条视神经存在部分脱髓鞘。脑干和小脑显示广泛的血管病变,静脉变化处于不同阶段,从增生、扩张到出血,或增厚伴玻璃样变。血管周围脑组织,尤其是小脑的血管周围脑组织,常出现脱髓鞘,轴突相对保留,但无炎症。在脊髓背侧可见类似但程度较轻的静脉病变。薄束有上行性变性,外侧柱有下行性变性。

相似文献

1
Eales' disease with neurological involvement. Part 2. Pathology and pathogenesis.伴有神经受累的伊尔斯病。第2部分。病理学与发病机制。
J Neurol Sci. 1976 Mar;27(3):323-45. doi: 10.1016/0022-510x(76)90005-8.
2
Eales' disease with neurological involvement Part 1. Clinical features in 9 patients.
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[Eales' disease with neurologic disorders].[伴有神经系统疾病的伊尔斯病]
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[Eales disease with neurologic manifestation: differential diagnosis of multiple sclerosis. Report of two cases].[伴有神经表现的伊尔斯病:多发性硬化的鉴别诊断。两例报告]
Presse Med. 1999 Oct 16;28(31):1692-4.
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[Eales].
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引用本文的文献

1
Chronic encephalitis and Eales disease.慢性脑炎和伊尔斯病。
J Neurol. 1993 May;240(5):299-301. doi: 10.1007/BF00838166.
2
CNS involvement in malignant atrophic papulosis (Kohlmeier-Degos disease): vasculopathy and coagulopathy.中枢神经系统受累于恶性萎缩性丘疹病(科尔迈尔-德戈斯病):血管病和凝血病。
J Neurol Neurosurg Psychiatry. 1981 Feb;44(2):156-60. doi: 10.1136/jnnp.44.2.156.
3
Unusual association of Eales disease with multifocal neurological deficit.
Ital J Neurol Sci. 1984 Dec;5(4):461-2. doi: 10.1007/BF02042633.