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[立体定向脑活检在非典型多发性硬化中的意义]

[The significance of stereotaxic brain biopsy in atypical multiple sclerosis].

作者信息

Braus D F, Schwechheimer K, Volk B, Mundinger F

机构信息

Abteilung Stereotaxie und Neuronuklearmedizin, Albert-Ludwigs-Universität Freiburg.

出版信息

Nervenarzt. 1989 Nov;60(11):700-5.

PMID:2685627
Abstract

Multiple sclerosis (MS) is one of the most common diseases of the central nervous system. Up to now, there is no pathognomonic test to ascertain the diagnosis and in 10 to 15% of MS cases there are problems in differential diagnosis. We report 15 bioptically diagnosed MS cases with atypical clinical, C.S.F. and neuroradiological findings. In each case the diagnosis of MS was made by CT/MRI-stereotactic brain biopsy. Neoplastic and other non-tumorous lesions could be excluded. Indications for and significance of stereotactic brain biopsy in atypical cases of MS are discussed.

摘要

多发性硬化症(MS)是中枢神经系统最常见的疾病之一。到目前为止,尚无确诊的特异性检查方法,在10%至15%的MS病例中存在鉴别诊断问题。我们报告了15例经活检诊断为MS但具有非典型临床、脑脊液及神经放射学表现的病例。每例MS诊断均通过CT/MRI立体定向脑活检做出。可排除肿瘤性及其他非肿瘤性病变。本文讨论了立体定向脑活检在非典型MS病例中的适应证及意义。

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