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急性脊髓病,以突然截瘫为唯一表现的脑膜炎球菌性脑膜炎。

Acute myelopathy with sudden paraplegia as the sole manifestation of meningococcal meningitis.

机构信息

Department of Medicine, Hamad General Hospital, Doha, Qatar.

出版信息

Libyan J Med. 2010 Feb 8;5. doi: 10.3402/ljm.v5i0.4862.

DOI:10.3402/ljm.v5i0.4862
PMID:21483588
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3066778/
Abstract

Acute myelopathy with sudden paraplegia is a very rare manifestation of meningococcal meningitis, with only a few cases reported in the literature. In almost all previously reported cases, other clinical manifestations of meningitis, such as fever, headache, and neck stiffness preceded acute myelopathy. In this paper, we report a case of acute myelopathy with sudden paraplegia as the sole manifestation of meningococcal meningitis, in the absence of other clinical manifestations of meningitis.

摘要

急性脊髓病伴突然截瘫是脑膜炎球菌性脑膜炎非常罕见的表现形式,文献中仅报道了少数几例。在几乎所有以前报道的病例中,脑膜炎的其他临床表现,如发热、头痛和颈部僵硬,均先于急性脊髓病。本文报告了一例以急性脊髓病伴突然截瘫为唯一表现形式的脑膜炎球菌性脑膜炎,无其他脑膜炎的临床表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81a2/3066778/23ebf2801bbf/LJM-5-4862-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81a2/3066778/daa9a19823a3/LJM-5-4862-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81a2/3066778/23ebf2801bbf/LJM-5-4862-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81a2/3066778/daa9a19823a3/LJM-5-4862-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/81a2/3066778/23ebf2801bbf/LJM-5-4862-g002.jpg

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Libyan J Med. 2010 Feb 8;5. doi: 10.3402/ljm.v5i0.4862.
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本文引用的文献

1
Acute flaccid paraplegia: a rare complication of meningococcal meningitis.急性弛缓性截瘫:脑膜炎球菌性脑膜炎的一种罕见并发症。
Spinal Cord. 2008 Apr;46(4):314-6. doi: 10.1038/sj.sc.3102120. Epub 2007 Sep 11.
2
Thoracic myelopathy complicating acute meningococcal meningitis: MRI findings.急性脑膜炎球菌性脑膜炎并发胸椎脊髓病:MRI表现
Am J Med Sci. 2002 May;323(5):263-5. doi: 10.1097/00000441-200205000-00006.
3
Acute severe spinal cord dysfunction in bacterial meningitis in adults: MRI findings suggest extensive myelitis.成人细菌性脑膜炎中的急性严重脊髓功能障碍:MRI表现提示广泛脊髓炎。
Arch Neurol. 2001 May;58(5):806-10. doi: 10.1001/archneur.58.5.806.
4
Quadriplegia complicating Escherichia coli meningitis in a newborn infant: case report and review of 22 cases of spinal cord dysfunction in patients with acute bacterial meningitis.新生儿大肠杆菌脑膜炎并发四肢瘫:病例报告及22例急性细菌性脑膜炎患者脊髓功能障碍病例回顾
Clin Infect Dis. 1997 Aug;25(2):211-4. doi: 10.1086/514534.
5
Acute bacterial meningitis.急性细菌性脑膜炎
Lancet. 1995;346(8991-8992):1675-80. doi: 10.1016/s0140-6736(95)92844-8.
6
Spinal cord dysfunction complicating meningococcal meningitis.脊髓功能障碍并发脑膜炎球菌性脑膜炎。
Postgrad Med J. 1990 Apr;66(774):302-3. doi: 10.1136/pgmj.66.774.302.