Chotmongkol Verajit, Chimsuk Ubonvan, Chuesakoolvanich Kittisak
Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Southeast Asian J Trop Med Public Health. 2003 Jun;34(2):393-4.
A 34-year-old woman who presented with only severe headache for 12 days was reported. She was initially diagnosed with cerebral infarction of the right temporal lobe and treated with aspirin, without improvement. On admission, she had bilateral papilledema. Other findings were unremarkable. CT scan and MRI of the brain revealed an area of cerebritis at the right temporal lobe. Lumbar puncture showed high opening pressure with normal CSF profiles. The patient was treated with intravenous acyclovir which gave a favorable outcome.
据报道,一名34岁女性仅出现严重头痛12天。她最初被诊断为右颞叶脑梗死,并接受阿司匹林治疗,但病情无改善。入院时,她双侧视乳头水肿。其他检查结果无异常。脑部CT扫描和MRI显示右颞叶有一个脑炎区域。腰椎穿刺显示初压高,脑脊液检查结果正常。该患者接受静脉注射阿昔洛韦治疗,效果良好。