表现为类卒中综合征的巴洛同心性硬化。
Baló's concentric sclerosis presenting as a stroke-like syndrome.
作者信息
Mowry Ellen M, Woo John H, Ances Beau M
机构信息
Department of Neurology, University of Pennsylvania, Philadelphia, PA, USA.
出版信息
Nat Clin Pract Neurol. 2007 Jun;3(6):349-54. doi: 10.1038/ncpneuro0522.
BACKGROUND
A 37-year-old woman without important previous medical history presented to an emergency room with acute onset of left-sided weakness and numbness. Examination revealed left-sided hemiparesis (in the arm greater than in the leg) and hypoesthesia.
INVESTIGATIONS
Routine laboratory testing, lumbar puncture, dynamic susceptibility contrast perfusion study, longitudinal brain MRI, and magnetic resonance spectroscopy were performed.
DIAGNOSIS
Balós concentric sclerosis.
MANAGEMENT
Intravenous methylprednisolone followed by oral steroid taper.
背景
一名37岁既往无重要病史的女性因急性左侧肢体无力和麻木就诊于急诊室。检查发现左侧偏瘫（上肢重于下肢）及感觉减退。
检查
进行了常规实验室检查、腰椎穿刺、动态磁敏感对比灌注研究、头颅MRI及磁共振波谱分析。
诊断
巴洛同心性硬化。
治疗
静脉注射甲泼尼龙，随后口服激素逐渐减量。
Zotero 插件