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亚急性硬化性全脑炎以急性双侧视力丧失为首发表现。

Acute bilateral vision loss as the presenting feature of subacute sclerosing panencephalitis.

机构信息

Child Neurology Division, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Pediatr. 2009 Sep;76(9):952-3. doi: 10.1007/s12098-009-0191-1. Epub 2009 Nov 4.

DOI:10.1007/s12098-009-0191-1
PMID:19904511
Abstract

A 12-yr-old boy with an atypical presentation of subacute sclerosing panencephalitis (SSPE) is described. Bilateral macular chorioretinitis preceded the neurological symptoms by 3 weeks. Both visual and neurological features had an acute onset. Clinicians need to be aware that macular chorioretinitis in a child may be the heralding feature of SSPE.

摘要

本文描述了一例表现不典型的亚急性硬化性全脑炎（SSPE）的 12 岁男孩。双侧黄斑脉络膜炎在神经症状出现前 3 周出现。视力和神经症状均为急性起病。临床医生需要意识到，儿童的黄斑脉络膜炎可能是 SSPE 的先驱特征。

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1
Acute bilateral vision loss as the presenting feature of subacute sclerosing panencephalitis.亚急性硬化性全脑炎以急性双侧视力丧失为首发表现。
Indian J Pediatr. 2009 Sep;76(9):952-3. doi: 10.1007/s12098-009-0191-1. Epub 2009 Nov 4.
2
Chorioretinitis: a potential clue to the early diagnosis of subacute sclerosing panencephalitis.脉络膜视网膜炎：亚急性硬化性全脑炎早期诊断的潜在线索。
Pract Neurol. 2017 Aug;17(4):293-296. doi: 10.1136/practneurol-2017-001646. Epub 2017 May 16.
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Chorioretinitis as a possible very early manifestation of subacute sclerosing panencephalitis.脉络膜视网膜炎作为亚急性硬化性全脑炎可能的极早期表现。
Aust N Z J Med. 1991 Jun;21(3):350-2. doi: 10.1111/j.1445-5994.1991.tb04706.x.
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Subacute sclerosing panencephalitis and chorioretinitis.亚急性硬化性全脑炎和脉络膜视网膜炎。
Brain Dev. 1997 Jan;19(1):55-7. doi: 10.1016/s0387-7604(96)00071-x.
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[A case of SSPE presenting visual disturbance and serial MRI study].[一例表现为视力障碍的亚急性硬化性全脑炎病例及系列磁共振成像研究]
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Chorioretinitis as a first sign of SSPE.脉络膜视网膜炎作为亚急性硬化性全脑炎的首发症状
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引用本文的文献

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Bilateral Vision Loss and Visual Hallucinations in Subacute Sclerosing Panencephalitis: A Case Report.亚急性硬化性全脑炎中的双侧视力丧失和视幻觉：一例报告
Neuroophthalmology. 2023 Apr 5;47(4):225-229. doi: 10.1080/01658107.2023.2194987. eCollection 2023.
2
Neurological Complications of Measles (Rubeola).麻疹（风疹）的神经并发症。
Curr Neurol Neurosci Rep. 2020 Feb 7;20(2):2. doi: 10.1007/s11910-020-1023-y.
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Unilateral macular chorioretinitis in subacute sclerosing panencephalitis studied by spectral domain optical coherence tomography.

本文引用的文献

1
Progressive myoclonic epilepsies: a review of genetic and therapeutic aspects.进行性肌阵挛性癫痫：遗传与治疗方面的综述
Lancet Neurol. 2005 Apr;4(4):239-48. doi: 10.1016/S1474-4422(05)70043-0.
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Diagnostic dilemmas in fulminant subacute sclerosing panencephalitis (SSPE).暴发性亚急性硬化性全脑炎（SSPE）的诊断困境
Indian J Pediatr. 2004 Apr;71(4):365-7. doi: 10.1007/BF02724111.
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Randomized treatment study of inosiplex versus combined inosiplex and intraventricular interferon-alpha in subacute sclerosing panencephalitis (SSPE): international multicenter study.
采用光谱域光学相干断层扫描技术研究亚急性硬化性全脑炎中的单侧黄斑脉络膜视网膜炎。
Saudi J Ophthalmol. 2018 Apr-Jun;32(2):171-173. doi: 10.1016/j.sjopt.2017.10.008. Epub 2017 Nov 7.
4
Ophthalmic examination as a means to diagnose Subacute Sclerosing Panencephalitis: an optical coherence tomography and ultrawide field imaging evaluation.眼科检查作为诊断亚急性硬化性全脑炎的一种手段：光学相干断层扫描和超广角成像评估
Eye Vis (Lond). 2017 Jan 19;4:1. doi: 10.1186/s40662-016-0066-2. eCollection 2017.
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Optic neuritis and rapidly progressive necrotizing retinitis as the initial signs of subacute sclerosing panencephalitis: a case report with clinical and histopathologic findings.视神经炎和快速进展性坏死性视网膜炎作为亚急性硬化性全脑炎的初始表现：一例伴有临床和组织病理学发现的病例报告
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Challenges in diagnosing SSPE.亚急性硬化性全脑炎（SSPE）诊断中的挑战。
Childs Nerv Syst. 2011 Dec;27(12):2041-4. doi: 10.1007/s00381-011-1603-x. Epub 2011 Oct 15.
肌苷与肌苷联合脑室内注射α-干扰素治疗亚急性硬化性全脑炎（SSPE）的随机治疗研究：国际多中心研究
J Child Neurol. 2003 Dec;18(12):819-27. doi: 10.1177/088307380301801201.
4
Subacute sclerosing panencephalitis.亚急性硬化性全脑炎
Postgrad Med J. 2002 Feb;78(916):63-70. doi: 10.1136/pmj.78.916.63.
5
High incidence of subacute sclerosing panencephalitis in south India.印度南部亚急性硬化性全脑炎的高发病率。
Epidemiol Infect. 1990 Feb;104(1):151-6. doi: 10.1017/s0950268800054637.
6
[Changes in the fundus in subacute sclerosing panencephalitis. Apropos of 23 cases].[亚急性硬化性全脑炎的眼底改变。附23例报告]
J Fr Ophtalmol. 1992;15(4):255-61.