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[滨海边疆区流行性脑炎急性期患者的病史]

[Catamnesis of patients sustaining the acute period of epidemic encephalitis in Primor'e].

作者信息

Legkonogov V A, Bezrukova L V, Solodkaia G L, Nikolaeva E A

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1976;76(2):197-9.

PMID:1266480
Abstract

The authors studied 20 patients (12 males and 8 females) from 5--40 years of age who had acute forms of epidemic encephalitis. Progressive development was marked only in 2 patients (in one case typical parkinsonism, in the other--a hallucinatory-paranoid schizophrenoform syndrome). In the majority of the cases neurological symptoms of the acute period gradually subsided up till a full disappearance (in 8 out of 20 cases). Among the residual of symptoms of contemporary epidemic encephalitis special attention should be drawn to blepharoclonus and blepharospasm, converging both monocular nistagmus and peculiar "psychic equivalents" of parkinsonism in the form of akairia. These symptoms may be used for a retrospective diagnosis of epidemic encephalitis.

摘要

作者研究了20例年龄在5至40岁之间患有急性流行性脑炎的患者(12名男性和8名女性)。仅2例患者出现病情进展(1例为典型帕金森症,另1例为幻觉-偏执型精神分裂症样综合征)。在大多数病例中,急性期的神经症状逐渐消退直至完全消失(20例中有8例)。在当代流行性脑炎的残留症状中,应特别关注睑阵挛和睑痉挛,它们既合并单眼眼球震颤,又有以动作徐缓形式出现的帕金森症的特殊“精神等效症”。这些症状可用于流行性脑炎的回顾性诊断。

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