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热应激表现为脑病和弥散性脑损伤及出血的 MRI 表现。

Heat stress presenting with encephalopathy and MRI findings of diffuse cerebral injury and hemorrhage.

机构信息

Department of Neurology, University of Texas Medical School-Houston, UT Health, Houston, TX, USA.

出版信息

BMC Neurol. 2013 Jun 17;13:63. doi: 10.1186/1471-2377-13-63.

DOI:10.1186/1471-2377-13-63
PMID:23773322
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3685548/
Abstract

BACKGROUND

Heat stress results in multiorgan failure and CNS injury. There a few case reports in the literature on the neurological consequences of heat stress.

CASE PRESENTATION

We describe a patient with heat stress presenting with encephalopathy and bilateral cerebral, cerebellar, and thalamic lesions and intraventricular hemorrhage on MRI.

CONCLUSION

Heat stress should be in the differential diagnosis of patients presenting with encephalopathy and elevated serum inflammatory markers especially if the history suggests a preceding episode of hyperthermia.

摘要

背景

热应激可导致多器官衰竭和中枢神经系统损伤。文献中有少数关于热应激导致的神经系统后果的病例报告。

病例介绍

我们描述了 1 例热应激患者,其表现为脑病和双侧大脑、小脑和丘脑病变,以及 MRI 上的脑室出血。

结论

热应激应列入出现脑病和血清炎症标志物升高的患者的鉴别诊断中,特别是如果病史提示之前有过热应激发作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db69/3685548/addef9b5cebb/1471-2377-13-63-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db69/3685548/82d88f9052a0/1471-2377-13-63-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db69/3685548/addef9b5cebb/1471-2377-13-63-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db69/3685548/82d88f9052a0/1471-2377-13-63-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/db69/3685548/addef9b5cebb/1471-2377-13-63-2.jpg

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Hypoxic-ischaemic brain injury: imaging and neurophysiology abnormalities related to outcome.缺氧缺血性脑损伤:与结局相关的影像学和神经生理学异常。
QJM. 2012 Jun;105(6):551-61. doi: 10.1093/qjmed/hcs016. Epub 2012 Feb 9.
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Abnormal hyperintensity in cerebellar efferent pathways on diffusion-weighted imaging in a patient with heat stroke.一名中暑患者的扩散加权成像显示小脑传出通路异常高信号。
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Diffusion-weighted magnetic resonance imaging of a severe heat stroke patient complicated with severe cerebellar ataxia.
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MicroRNA-155 Promotes Heat Stress-Induced Inflammation via Targeting Liver X Receptor α in Microglia.微小RNA-155通过靶向小胶质细胞中的肝X受体α促进热应激诱导的炎症反应。
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Heat stroke: increased signal intensity in the bilateral cerebellar dentate nuclei and splenium on diffusion-weighted MR imaging.中暑:磁共振扩散加权成像显示双侧小脑齿状核及压部信号强度增加。
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Bilateral hippocampal hyperintensities: a new finding in MR imaging of heat stroke.双侧海马高信号:中暑磁共振成像中的新发现。
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A review of heat shock protein induction following cerebellar injury.小脑损伤后热休克蛋白诱导的综述。
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