Bussone G, La Mantia L, Grazzi L, Lamperti E, Salmaggi A, Strada L
II Divisione di Neurologia, Istituto Neurologico C. Besta, Milano, Italia.
Eur Neurol. 1989;29(4):238-40. doi: 10.1159/000116419.
A case of neurobrucellosis misdiagnosed at the onset as multiple sclerosis (MS) is presented. Magnetic resonance imaging showed multiple periventricular areas compatible with demyelinating lesions of possible vasculitic origin. Myelin basic protein was elevated in the CSF. The immunological CSF study was consistent with a chronic intrathecal inflammatory process. The modification of these parameters during specific treatment is also presented.
本文报告了一例最初被误诊为多发性硬化症(MS)的神经型布鲁氏菌病病例。磁共振成像显示多个脑室周围区域,与可能源于血管炎的脱髓鞘病变相符。脑脊液中髓鞘碱性蛋白升高。脑脊液免疫学研究结果与慢性鞘内炎症过程一致。文中还介绍了在特异性治疗过程中这些参数的变化情况。