Prabhakar Appaswamy Thirumal, Kamanahalli Ragavendra, Sivadasan Ajith, Joseph Elizabeth, Viggeswarpu Surekha
Department of Neurological Sciences, Christian Medical College, Vellore, India
Department of Radiodiagnosis, Christian Medical College, Vellore, India.
Trop Doct. 2016 Jan;46(1):57-9. doi: 10.1177/0049475515577987. Epub 2015 Mar 18.
Acute haemorrhagic leukoencephalitis (AHL) is a fulminant inflammatory disease of cerebral white matter, characterised by demyelination and haemorrhagic necrosis. The outcome is usually fatal with only few survivors. An unusual presentation of a 44-year-old South Indian farmer who developed AHL following a snake bite is reported. Though the initial brain imaging showed extensive involvement of the white matter with multiple haemorrhagic foci, the patient improved spontaneously with no specific therapy. A repeat magnetic resonance imaging of the brain 28 days after the snake bite confirmed radiological improvement.
急性出血性白质脑炎（AHL）是一种脑白质的暴发性炎症性疾病，其特征为脱髓鞘和出血性坏死。预后通常是致命的，仅有少数幸存者。本文报道了一名44岁南印度农民在被蛇咬后患上AHL的不寻常病例。尽管最初的脑部影像学检查显示白质广泛受累并有多个出血灶，但该患者未经特殊治疗便自发好转。蛇咬后28天进行的脑部磁共振成像复查证实了影像学上的改善。
