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[大剂量皮质类固醇治疗婴儿急性白质脑炎。病例报告]

[Acute leukoencephalitis in infant treated by high-dose corticosteroid. A case report].

作者信息

Halioui-Louhaichi Sonia, Ben Jmaa Wissal, Briki Sarra, Ben Farhat Leila, Bahri Feriel, Ben Mrad Nigar, Ben Hariz Mongi, Hendaoui Lotfi, Maherzi Ahmed

机构信息

Service de Pédiatrie, CHU Mongi Slim, la Marsa, Tunisie.

出版信息

Tunis Med. 2005 Mar;83(3):172-5.

Abstract

The authors report a case of acute post infectious leukoencephalitis observed in a tow-years and a half children admitted to our hospital for fiver with suddent condition deterioration, obnibulation, coma and paralysis of the 6th and 7th cranial nerve. Cerebrospinal fluid study showed lymphocytosis with negative culture. Head magnetic resonance imaging demonstrated diffuse high signals over the white matter on T2 weighted images so the diagnosis was confirmed. High dose corticosteroid therapy was effective.

摘要

作者报告了一例急性感染后白质脑炎病例,该病例发生在一名两岁半的儿童身上,该儿童因发热入院,随后病情突然恶化,出现嗜睡、昏迷以及第6和第7对脑神经麻痹。脑脊液检查显示淋巴细胞增多,培养结果为阴性。头部磁共振成像显示在T2加权图像上白质有弥漫性高信号,从而确诊。大剂量皮质类固醇治疗有效。

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