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急性出血性白质脑病:两例病例报告及文献综述

Acute haemorrhagic leukoencephalopathy: two case reports and review of the literature.

作者信息

Archer H, Wall R

机构信息

Northwick Park Hospital, Harrow, London.

出版信息

J Infect. 2003 Feb;46(2):133-7. doi: 10.1053/jinf.2002.1096.

DOI:10.1053/jinf.2002.1096
PMID:12634076
Abstract

Acute haemorrhagic leukoencephalopathy is a rare, rapidly progressive disease of cerebral white matter associated with high fatality. The few known patients surviving have all been treated with early instigation of immuno-modulatory therapy. Here we describe two cases of this disease and underscore the importance of considering this diagnosis in the differential for any individual presenting with progressive neurological signs, an antecedent flu-like illness, and early changes on CT showing widespread disease of white matter.

摘要

急性出血性白质脑病是一种罕见的、迅速进展的脑白质疾病,病死率高。已知存活的少数患者均接受了早期免疫调节治疗。在此,我们描述两例该疾病,并强调对于任何出现进行性神经体征、前驱流感样疾病且CT早期显示广泛白质病变的个体,在鉴别诊断中考虑这一诊断的重要性。

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