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流感的神经并发症。

Neurologic complications of influenza.

机构信息

Division of Neurology, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, UT 84108, USA.

出版信息

Semin Pediatr Neurol. 2012 Sep;19(3):96-100. doi: 10.1016/j.spen.2012.02.004.

Abstract

Neurologic complications associated with influenza infection represent rare, but often underappreciated, manifestations of both seasonal and global pandemic influenza. Seizures are the most common neurologic complication, occurring as febrile seizures, as exacerbations in patients with epilepsy, or as symptoms of other influenza-induced neurologic disorders. Encephalopathy is the second most common neurologic complication associated with influenza. A wide spectrum of conditions ranging from coma with severe long-term morbidity or mortality and more mild altered mental states that resolve with minimal-to-no sequelae have been reported. Other less common neurologic complications that have been described include stroke, focal neurologic deficits, Guillain-Barré syndrome, acute disseminated encephalomyelitis, and transverse myelitis.

摘要

与流感感染相关的神经系统并发症是罕见的,但往往被低估,既可见于季节性流感,也可见于全球大流行流感。癫痫发作是最常见的神经系统并发症,可表现为热性惊厥、癫痫患者病情加重,或其他流感引起的神经系统疾病的症状。脑病是与流感相关的第二大常见神经系统并发症。据报道,其范围广泛,包括伴有严重长期发病率或死亡率的昏迷,以及更为轻度的意识改变,这些改变可随着最小至无后遗症而缓解。其他较少见的神经系统并发症包括中风、局灶性神经功能缺损、吉兰-巴雷综合征、急性播散性脑脊髓炎和横贯性脊髓炎。

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