Muin Dana A, Wagner Katrin, Burian Rosemarie, Ghaem Maghami Naghmeh, Lapaire Olav
Department of Obstetrics and Fetomaternal Medicine, University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland ; Department of Obstetrics and Fetomaternal Medicine, Medical University Vienna, Waehringer Guertel 18-20, 1090 Vienna, Austria.
Department of Obstetrics and Fetomaternal Medicine, University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland.
Case Rep Obstet Gynecol. 2015;2015:179483. doi: 10.1155/2015/179483. Epub 2015 Nov 4.
We report a case of a Somali refugee who presented in the second trimester of her first pregnancy with a four-week history of gradual right-sided sensomotoric hemisyndrome including facial palsy and left-sided paresis of the oculomotorius nerve causing drooping of the left eyelid and double vision. Cranial magnetic resonance imaging revealed a solitary brainstem lesion. Upon detection of hilar lymphadenopathy on chest X-ray (CXR), the diagnosis of disseminated tuberculosis with involvement of the central nervous system was confirmed by PCR and treatment induced with rifampicin, isoniazid, pyrazinamide, and ethambutol. The patient had a steady neurological improvement and a favorable pregnancy outcome.
我们报告一例索马里难民病例，该患者在首次怀孕中期出现渐进性右侧感觉运动性半身综合征，病史长达四周，包括面瘫以及动眼神经左侧麻痹导致左眼睑下垂和复视。头颅磁共振成像成像显示成像显示有一个孤立的脑干病变。胸部X光检查发现肺门淋巴结病后，通过聚合酶链反应确诊为中枢神经系统受累的播散性结核病，并开始使用利福平、异烟肼、吡嗪酰胺和乙胺丁醇进行治疗。患者神经功能持续改善，妊娠结局良好。
