Coleman R J, Brown J S, Butler P, Swash M
Department of Neurology, London Hospital, UK.
Postgrad Med J. 1990 Jul;66(777):554-6. doi: 10.1136/pgmj.66.777.554.
A 27 year old woman developed a cerebellar syndrome with serological evidence of recent Mycoplasma pneumoniae infection. The cranial computed tomographic scan showed effacement of the fourth ventricle, enhancement of the basal meninges and hydrocephalus affecting the lateral and third ventricles. Clinical and radiological recovery occurred over 5 weeks. We propose that this was a manifestation of immune-mediated encephalomyelitis induced by the infection rather than direct invasion of the central nervous system.
一名27岁女性出现小脑综合征，血清学检查证明近期有肺炎支原体感染。头颅计算机断层扫描显示第四脑室受压、基底脑膜强化以及侧脑室和第三脑室积水。临床和影像学症状在5周内恢复。我们认为这是感染诱发的免疫介导性脑脊髓炎的表现，而非中枢神经系统的直接感染。
