一例以眩晕为表现的急性播散性脑脊髓炎。

A case of acute disseminated encephalomyelitis presenting with vertigo.

作者信息

Ogawa Yasuo, Suzuki Mamoru, Hagiwara Akira, Yukawa Kumiko, Kitajima Naoharu, Inagaki Taro, Ichimura Akihide

机构信息

Department of Otorhinolaryngology, Tokyo Medical University, 6-7-1 Nishishinjuku Shinjuku, Tokyo 160-0023, Japan.

出版信息

Auris Nasus Larynx. 2008 Mar;35(1):127-30. doi: 10.1016/j.anl.2007.06.006. Epub 2007 Sep 14.

DOI:10.1016/j.anl.2007.06.006

PMID:17869464

Abstract

We report a 37-year-old woman with acute disseminated encephalomyelitis (ADEM) who presented with progressive vertigo. A central nervous system disorder was initially suspected because gaze-evoked torsional nystagmus was observed and electrical nystagmography (ENG) revealed abnormal eye movements with saccadic ocular pursuit and pathological optokinetic nystagmus. Finally ADEM was diagnosed by the clinical symptoms and the characteristic patterns of brain MRI. It is rare for otolaryngologists to examine patients with ADEM. ADEM takes an acute course and can present a grave state and therefore needs early diagnosis, early treatment. We have to keep ADEM in mind in the diagnosis of vertigo.

摘要

我们报告了一名37岁患有急性播散性脑脊髓炎（ADEM）的女性，她出现进行性眩晕。最初怀疑是中枢神经系统疾病，因为观察到注视诱发的扭转性眼球震颤，并且眼震电图（ENG）显示眼球扫视追踪和病理性视动性眼球震颤存在异常眼动。最终通过临床症状和脑部MRI的特征性表现诊断为ADEM。耳鼻喉科医生检查ADEM患者的情况较为罕见。ADEM病程呈急性，可呈现严重状态，因此需要早期诊断、早期治疗。在眩晕的诊断中我们必须考虑到ADEM。