Gamache Pierre-Luc, Gagnon Maude-Marie, Savard Martin, Émond François
Centre Hospitalier de L'Enfant-Jésus, Centre Hospitalier Universitaire de Québec, Canada
Centre Hospitalier de L'Enfant-Jésus, Centre Hospitalier Universitaire de Québec, Canada.
Neuroradiol J. 2016 Dec;29(6):436-439. doi: 10.1177/1971400916665373. Epub 2016 Aug 24.
This article reports the case of a 68-year-old patient with anti-HU antibodies paraneoplastic encephalitis. The clinical manifestations were atypical and the paraclinical work-up, notably the magnetic resonance imaging (MRI) showing bilateral posterior thalamic hyperintensities (pulvinar sign), misleadingly pointed towards a variant Creutzfeld-Jakob disease. After presenting the case, the differential diagnosis of the pulvinar sign is discussed along with other important diagnostic considerations.
本文报道了一例68岁患有抗Hu抗体副肿瘤性脑炎的患者。临床表现不典型,而副临床检查,尤其是磁共振成像(MRI)显示双侧丘脑后部高信号(枕叶征),误导性地指向变异型克雅氏病。在介绍该病例后,讨论了枕叶征的鉴别诊断以及其他重要的诊断要点。