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表现为非典型子痫的颅内结核瘤:一例报告

Intracranial Tuberculoma Presenting as Atypical Eclampsia: A Case Report.

作者信息

Arumugam Sendhil Coumary, Murugesan Sharmila, Pradeep Sunitha, John Lopamudra, Kolluru Vasavi

机构信息

Professor, Department of Obstetrics and Gynaecology, Mahatma Gandhi Medical College and RI , Pondicherry, India .

Assistant Professor, Department of Obstetrics and Gynaecology, Mahatma Gandhi Medical College and RI , Pondicherry, India .

出版信息

J Clin Diagn Res. 2016 Jun;10(6):QD01-2. doi: 10.7860/JCDR/2016/18782.8053. Epub 2016 Jun 1.

DOI:10.7860/JCDR/2016/18782.8053
PMID:27504359
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4963719/
Abstract

Occurrence of eclampsia before 20 weeks of pregnancy and after 48 hours of delivery in the absence of typical signs of hypertension and or proteinuria is termed as atypical eclampsia. Atypical or non-classic eclampsia will have some symptoms of eclampsia but without the usual proteinuria or hypertension. All patients with atypical onset should undergo neurological evaluation to rule out neurologic causes of seizures. Cerebral tuberculosis is a rare and serious form of disease secondary to haematogenous spread of Mycobacterium tuberculosis. Here we present a case of cerebral tuberculoma with seizures in late pregnancy mimicking eclampsia.

摘要

妊娠20周前及分娩48小时后出现子痫,且无典型高血压和(或)蛋白尿体征,称为非典型子痫。非典型或非经典子痫会有一些子痫症状,但无通常的蛋白尿或高血压。所有非典型发病的患者均应接受神经学评估,以排除癫痫发作的神经学原因。脑结核是继结核分枝杆菌血行播散后一种罕见且严重的疾病形式。在此,我们报告一例妊娠晚期酷似子痫的癫痫发作合并脑结核瘤的病例。

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引用本文的文献

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Tuberculous meningoencephalitis associated with brain tuberculomas during pregnancy: a case report.妊娠期结核性脑膜脑炎合并脑结核瘤:一例报告
J Med Case Rep. 2017 Jun 29;11(1):175. doi: 10.1186/s13256-017-1347-7.

本文引用的文献

1
Brainstem Tuberculoma in Pregnancy.妊娠期脑干结核瘤
Case Rep Obstet Gynecol. 2015;2015:179483. doi: 10.1155/2015/179483. Epub 2015 Nov 4.
2
Central nervous system tuberculosis.中枢神经系统结核
Afr Health Sci. 2011 Mar;11(1):116-27.
3
Cerebral tuberculoma in pregnancy: overview of the literature and report of a case.
Acta Med Iran. 2011;49(1):64-9.
4
Central nervous system tuberculosis: pathogenesis and clinical aspects.中枢神经系统结核:发病机制与临床方面
Clin Microbiol Rev. 2008 Apr;21(2):243-61, table of contents. doi: 10.1128/CMR.00042-07.
5
Preeclampsia: Diagnosis and management of the atypical presentation.子痫前期:非典型表现的诊断与管理
J Matern Fetal Neonatal Med. 2006 Jul;19(7):381-6. doi: 10.1080/14767050600678337.
6
Disseminated tuberculosis in a pregnant woman presenting with numerous brain tuberculomas: case report.一名患有大量脑结核瘤的孕妇的播散性肺结核:病例报告
Arq Neuropsiquiatr. 2003 Sep;61(3B):855-8. doi: 10.1590/s0004-282x2003000500028. Epub 2003 Oct 28.