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暴发性急性播散性脑脊髓炎婴儿病例中的双侧展神经麻痹:一例报告

Bilateral abducens nerve palsy in an infant case of fulminant acute disseminated encephalomyelitis: a case report.

作者信息

Yang Zhiliang, Sun Guilian

机构信息

Department of Pediatrics, The First Affiliated Hospital of China Medical University, No. 155 Nanjing North Street, Heping District, Shenyang, 110001, Liaoning, China.

出版信息

BMC Ophthalmol. 2016 Oct 26;16(1):185. doi: 10.1186/s12886-016-0365-3.

Abstract

BACKGROUND

Sixth (abducens) nerve palsy (ANP) is far less frequent in children and has not been reported as a sign of acute disseminated encephalomyelitis (ADEM). We present an infant case of ADEM with bilateral abducens nerve palsy (BANP).

CASE PRESENTATION

We report one case of BANP in a 15-month-old boy of fulminant ADEM. The patient underwent physical examinations and brain MRI scan three times during about six months follow-up. The patient had BANP and developmental regression when he regained consciousness from a coma, and the signs had persisted for 6-months.

CONCLUSIONS

BANP can be a symptom of ADEM.

摘要

背景

第六(展)神经麻痹(ANP)在儿童中较为少见,且尚未有作为急性播散性脑脊髓炎(ADEM)体征的相关报道。我们报告一例患有双侧展神经麻痹(BANP)的婴儿ADEM病例。

病例介绍

我们报告一名15个月大患暴发性ADEM男孩的BANP病例。在大约6个月的随访期间,该患者接受了3次体格检查和脑部磁共振成像扫描。患者从昏迷中苏醒时出现BANP和发育倒退,这些体征持续了6个月。

结论

BANP可能是ADEM的一种症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6da/5080722/ae0f3c76f6ca/12886_2016_365_Fig1_HTML.jpg

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