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以单侧展神经麻痹为表现的神经型布鲁氏菌病

Neurobrucellosis Presenting with Unilateral Abducens Nerve Palsy.

作者信息

Andisheh Mohsen, Amirsalari Susan, Torkaman Mohammad, Sabzechian Marzieh, Afsharpaiman Shahla

机构信息

New Hearing Technologies Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.

Pediatric Neurology Department, New Hearing Technologies Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.

出版信息

Iran J Child Neurol. 2017 Spring;11(2):61-64.

PMID:28698730
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5493832/
Abstract

One of the rare complications of brucellosis is neurobrucellosis. There have been numerous reports showing clinical forms of brucellosis affecting CNS, such as cranial nerve involvement, myelitis, vascular disease, radiculoneuritis, meningitis, meningoencephalitis, and demyelinating disease. In this case report, we introduce a 2.5 yr old girl with unilateral abducens nerve palsy referred to Baghiyatallah Hospital Outpatient Clinic, Tehran, Iran in June 2015.

摘要

布鲁氏菌病的罕见并发症之一是神经型布鲁氏菌病。已有大量报告显示布鲁氏菌病的临床形式可影响中枢神经系统,如脑神经受累、脊髓炎、血管疾病、神经根神经炎、脑膜炎、脑膜脑炎和脱髓鞘疾病。在本病例报告中,我们介绍了一名2.5岁的女孩,她于2015年6月因单侧展神经麻痹转诊至伊朗德黑兰的巴吉亚塔拉医院门诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3be/5493832/7b1464579eca/ijcn-11-061-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3be/5493832/480c18397776/ijcn-11-061-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3be/5493832/fa94000dde84/ijcn-11-061-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3be/5493832/7b1464579eca/ijcn-11-061-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3be/5493832/480c18397776/ijcn-11-061-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3be/5493832/fa94000dde84/ijcn-11-061-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3be/5493832/7b1464579eca/ijcn-11-061-g003.jpg

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1
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本文引用的文献

1
An unusual case of neurobrucellosis presenting with unilateral abducens nerve palsy: clinical and MRI findings.单侧展神经麻痹的神经布鲁氏菌病一例:临床与 MRI 表现。
Diagn Interv Radiol. 2009 Dec;15(4):236-8. doi: 10.4261/1305-3825.DIR.1604-07.1. Epub 2009 Oct 27.
2
Abducens nerve palsy and optic neuritis as initial manifestation in brucellosis.布鲁氏菌病以展神经麻痹和视神经炎为首发表现
Scand J Infect Dis. 2006;38(8):721-5. doi: 10.1080/00365540500466614.
3
Neurobrucellosis as an exceptional cause of transient ischemic attacks.
神经型布鲁氏菌病作为短暂性脑缺血发作的罕见病因。
Eur J Neurol. 2006 May;13(5):544-8. doi: 10.1111/j.1468-1331.2006.01286.x.
4
Acute meningitis due to Brucella spp.布鲁氏菌属所致急性脑膜炎
Eur J Pediatr. 2006 Oct;165(10):726-7. doi: 10.1007/s00431-006-0158-4. Epub 2006 May 12.
5
Vasculopathic changes in the cerebral arterial system with neurobrucellosis.神经型布鲁氏菌病患者脑动脉系统的血管病变
AJNR Am J Neuroradiol. 2006 Feb;27(2):384-6.
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Brucellosis.布鲁氏菌病
N Engl J Med. 2005 Jun 2;352(22):2325-36. doi: 10.1056/NEJMra050570.
7
Neurobrucellosis: clinical and neuroimaging correlation.神经型布鲁氏菌病:临床与神经影像学相关性
AJNR Am J Neuroradiol. 2004 Mar;25(3):395-401.
8
Protean manifestations of nervous system brucellosis. Case histories of a wide variety of clinical forms.神经系统布鲁氏菌病的多种表现形式。各种临床类型的病例史。
JAMA. 1963 Apr 27;184:269-75. doi: 10.1001/jama.1963.03700170061009.
9
Neurobrucellosis presenting with diffuse cerebral white matter lesions.
Eur Neurol. 2003;50(2):121-3. doi: 10.1159/000072516.
10
Abducent nerve palsy during treatment of brucellosis.布鲁氏菌病治疗期间的展神经麻痹
Clin Neurol Neurosurg. 2003 Jul;105(3):218-20. doi: 10.1016/s0303-8467(03)00008-8.