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凸面脑膜结节病、假性脑膜瘤及硬脑膜炎

Meningeal sarcoidosis, pseudo-meningioma, and pachymeningitis of the convexity.

作者信息

Ranoux D, Devaux B, Lamy C, Mear J Y, Roux F X, Mas J L

机构信息

Centre Raymond Garcin, Hôpital Sainte Anne, Paris, France.

出版信息

J Neurol Neurosurg Psychiatry. 1992 Apr;55(4):300-3. doi: 10.1136/jnnp.55.4.300.

DOI:10.1136/jnnp.55.4.300
PMID:1583515
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC489043/
Abstract

Two cases of meningeal sarcoidosis with unusual and misleading presentations are reported. In the first case, CT scan, angiographic, and MRI findings were indistinguishable from those of meningioma. CSF pleiocytosis may help in diagnosing sarcoid pseudo-meningioma. The second patient had transient focal deficits and pachymeningitis of the convexity. The transient deficits were probably of epileptic origin based on their response to antiepileptic treatment. The diagnosis of neurosarcoidosis was made only after meningeal biopsy, despite thorough investigations.

摘要

报告了两例表现不寻常且具有误导性的脑膜结节病病例。在第一例中，CT扫描、血管造影和MRI表现与脑膜瘤难以区分。脑脊液细胞增多可能有助于诊断结节病假性脑膜瘤。第二例患者有短暂的局灶性神经功能缺损和凸面硬脑膜炎。基于对抗癫痫治疗的反应，短暂性神经功能缺损可能源于癫痫。尽管进行了全面检查，但仅在脑膜活检后才确诊为神经结节病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18bd/489043/78fce6867e34/jnnpsyc00489-0056-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18bd/489043/5a3de449cd6c/jnnpsyc00489-0055-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18bd/489043/6007cc4f9543/jnnpsyc00489-0055-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18bd/489043/eeba9bb228c2/jnnpsyc00489-0056-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18bd/489043/78fce6867e34/jnnpsyc00489-0056-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18bd/489043/5a3de449cd6c/jnnpsyc00489-0055-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18bd/489043/6007cc4f9543/jnnpsyc00489-0055-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18bd/489043/eeba9bb228c2/jnnpsyc00489-0056-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18bd/489043/78fce6867e34/jnnpsyc00489-0056-b.jpg

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