不典型肌萎缩侧索硬化症表现：病例报告。
Atypical presentations of amyotrophic lateral sclerosis: a case report.
机构信息
Department of Internal Medicine, University of Kentucky College of Medicine, Lexington, KY, USA.
出版信息
J Neuropsychiatry Clin Neurosci. 2011 Summer;23(3):362-4. doi: 10.1176/jnp.23.3.jnp362.
PMID:21948899
Abstract
Amyotrophic lateral sclerosis (ALS) with atypical symptoms poses a diagnostic challenge to clinicians, frequently resulting in delayed diagnosis. The patient reported here presented with unexplained weight loss and was investigated for 8 months, with an extensive work-up, including several imaging studies, especially to rule out neoplastic processes, before a diagnosis of ALS could be made, largely on the basis of upper and lower motor weakness.
摘要
肌萎缩侧索硬化症（ALS）伴不典型症状给临床医生带来了诊断挑战，常导致诊断延迟。本例患者以不明原因体重减轻为首发表现，经过 8 个月的检查，包括多次影像学检查，主要排除肿瘤性疾病，最终诊断为 ALS，主要依据是上下运动神经元无力。
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