Taşdemir Haydar Ali, Dilber Cengiz, Totan Mehmet, Onder Arif
Division of Neurology, Department of Paediatrics, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey.
Brain Dev. 2006 Jul;28(6):395-7. doi: 10.1016/j.braindev.2005.10.014. Epub 2006 Feb 28.
A previously healthy 8-year-old girl patient was referred with the complaints of severe headache associated with nausea and vomiting. Three weeks prior to her admission, she had measles manifested with fever and typical skin eruptions. Fundoscopic examination revealed bilateral swollen optic discs with tortuous blood vessels. Other physical examinations were unremarkable, except for photophobia. Lumbar puncture demonstrated a cerebrospinal fluid opening pressure of 30 cm H(2)O, no cells, normal levels of glucose and protein. Serum measles immunoglobulin M level was elevated (183 AU). Our further investigations revealed that the patient had pseudotumor cerebri (PTC) following measles infection.
一名既往健康的8岁女童因严重头痛伴恶心、呕吐前来就诊。入院前三周,她患了麻疹,表现为发热和典型的皮疹。眼底检查显示双侧视盘肿胀,血管迂曲。除畏光外,其他体格检查均无异常。腰椎穿刺显示脑脊液初压为30 cm H₂O,无细胞,葡萄糖和蛋白质水平正常。血清麻疹免疫球蛋白M水平升高(183 AU)。我们的进一步检查发现,该患者在麻疹感染后患有假性脑瘤(PTC)。