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以神经精神症状为表现的成人起病亚急性硬化性全脑炎

Adult-Onset Subacute Sclerosing Panencephalitis Presented with Neuropsychiatric Symptoms.

作者信息

Gokoglu Abdulkerim, Gozdas Hasan Tahsin

机构信息

Department of Neurosurgery, Acibadem Hospital, Kayseri, Turkey.

Department of Infectious Diseases and Clinical Microbiology, Abant Izzet Baysal University Faculty of Medicine, Bolu, Turkey.

出版信息

J Coll Physicians Surg Pak. 2019 Jun;29(6):S29-S30. doi: 10.29271/jcpsp.2019.06.S29.

Abstract

Subacute sclerosing panencephalitis (SSPE) is a progressive neurodegenerative disease caused by persistent infection of the brain with the measles virus. The most clinical presentations are behavioural changes and deterioration of mental status. The diagnosis is made with the characteristic clinical picture along with the consistent laboratory findings such as increased anti-measles antibody levels in cerebrospinal fluid accompanied by typical electroencephalographic and cranial imaging findings. SSPE usually affects children. Adult-onset SSPE is very rare and often presents with atypical features. We report here the case of a 62-year female presented with neuropsychiatric symptoms in whom SSPE was diagnosed based on cerebrospinal fluid, electroencephalographic and cranial imaging findings.

摘要

亚急性硬化性全脑炎(SSPE)是一种由麻疹病毒持续感染大脑引起的进行性神经退行性疾病。最常见的临床表现是行为改变和精神状态恶化。诊断依据特征性的临床表现以及一致的实验室检查结果,如脑脊液中抗麻疹抗体水平升高,同时伴有典型的脑电图和头颅影像学表现。SSPE通常影响儿童。成人发病的SSPE非常罕见,且常表现为非典型特征。我们在此报告一例62岁女性,其出现神经精神症状,根据脑脊液、脑电图和头颅影像学检查结果诊断为SSPE。

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