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一名从肯尼亚归来的小男孩出现伴有广泛病灶周围水肿的多灶性脑病变。

Multifocal Brain Lesions With Extensive Perilesional Edema in a Young Boy Returning From Kenya.

作者信息

Merison Kelsey, Vidaurre Jorge

机构信息

Division of Child Neurology, Nationwide Children's Hospital, Columbus, OH.

Division of Child Neurology, Nationwide Children's Hospital, Columbus, OH.

出版信息

Semin Pediatr Neurol. 2018 Jul;26:132-134. doi: 10.1016/j.spen.2017.03.021. Epub 2017 Apr 1.

DOI:10.1016/j.spen.2017.03.021
PMID:29961504
Abstract

We report the case of an 8-year-old boy who presented with headaches, optic disc edema, and left eye esotropia. He had recently returned to the United States after living in Kenya for approximately 3 years. His brain magnetic resonance imaging showed multifocal lesions with significant perilesional edema seemingly out of proportion to his neurologic examination findings. With appropriate therapy there was remarkable improvement in his symptoms with reduction in size of the lesions and surrounding edema.

摘要

我们报告了一名8岁男孩的病例,他出现头痛、视盘水肿和左眼内斜视。他在肯尼亚生活了大约3年后最近回到了美国。他的脑部磁共振成像显示多灶性病变,病灶周围有明显水肿,这似乎与他的神经学检查结果不成比例。经过适当治疗,他的症状有了显著改善,病变及周围水肿的大小都有所减小。

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