Simons Anneliese, Finnerty James, Wilson Martin
Department of Respiratory Medicine, Countess of Chester Hospital, Chester, UK.
Department of Neurology, Countess of Chester Hospital, Chester, UK.
BMJ Case Rep. 2015 Apr 21;2015:bcr2015209962. doi: 10.1136/bcr-2015-209962.
We describe a case of a 63-year-old man presenting in an acute confusional state with a markedly abnormal chest radiograph. During investigation, he developed aspiration pneumonia and was ventilated on the intensive care unit before confirming that he had autoimmune encephalopathy secondary to benign thymoma. After treatment with intravenous immunoglobulins he made an impressive recovery allowing him to be transferred to a tertiary unit for resection of the underlying mass, thus resulting in an excellent neurological recovery.
我们描述了一例63岁男性患者，其以急性意识模糊状态就诊，胸部X线片明显异常。在检查过程中，他发生了吸入性肺炎，并在重症监护病房接受机械通气，之后确诊为继发于良性胸腺瘤的自身免疫性脑病。经静脉注射免疫球蛋白治疗后，他恢复显著，得以转至三级医疗单位切除潜在肿块，从而实现了极佳的神经功能恢复。
