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巴尔骗局:由爱泼斯坦-巴尔病毒引起的急性小脑性共济失调

Barr humbug: acute cerebellar ataxia due to Epstein-Barr virus.

作者信息

Davies Benjamin, Machin Nicholas, Lavin Timothy, Ul Haq Mian Ayaz

机构信息

Department of Neurology, University of Manchester, Manchester, UK University of Cambridge, Cambridge, UK.

Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK.

出版信息

BMJ Case Rep. 2016 Aug 24;2016:bcr2016215303. doi: 10.1136/bcr-2016-215303.

Abstract

Epstein-Barr virus (EBV) infection is associated with neurological sequellae, but rarely there is acute cerebellar ataxia (ACA) in an adult. We present a novel case of a 26-year-old man, who presented with ACA. He had normal MRI and CSF analysis. Serum testing confirmed active EBV. A course of oral prednisolone 1 mg/kg for 4 weeks, with a subsequent taper was started. He made a full recovery within 3 weeks of presentation.

摘要

爱泼斯坦-巴尔病毒(EBV)感染与神经后遗症有关,但成人中很少出现急性小脑性共济失调(ACA)。我们报告了一例26岁男性的新病例,该患者表现为急性小脑性共济失调。他的MRI和脑脊液分析结果正常。血清检测证实存在活跃的EBV感染。开始给予口服泼尼松龙,剂量为1 mg/kg,持续4周,随后逐渐减量。他在就诊后3周内完全康复。

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