同时发生的急性马奇亚法瓦-比尼亚米病和后部可逆性脑病综合征：一例险些误诊的病例。
Simultaneous acute Marchiafava-Bignami disease and posterior reversible encephalopathy syndrome: a case almost misdiagnosed.
作者信息
Yang Liming, Liu Jing, Yin Yi, Yu Hui
机构信息
Affiliated Hospital of Guizhou Medical University, Guiyang 550004, China.
出版信息
Quant Imaging Med Surg. 2020 Jun;10(6):1392-1395. doi: 10.21037/qims-19-967.
Abstract
Marchiafava-Bignami disease (MBD) is a rare neurological disease, and is characterized by callosal lesions consisting of necrosis and demyelination. Posterior reversible encephalopathy syndrome (PRES) is a clinical syndrome, and refers to a disorder with reversible subcortical vasogenic brain edema, predominantly involving the bilateral parieto-occipital regions. Never before had articles reported that the two diseases occurred simultaneously. We report a 49-year-old male alcoholic with both MBD and PRES who had a good prognosis after correct diagnosis and timely treatment.
摘要
马奇亚法瓦-比尼亚米病（MBD）是一种罕见的神经系统疾病，其特征是胼胝体病变，包括坏死和脱髓鞘。后部可逆性脑病综合征（PRES）是一种临床综合征，指的是一种伴有可逆性皮质下血管源性脑水肿的病症，主要累及双侧顶枕叶区域。此前从未有文章报道过这两种疾病同时发生。我们报告一例49岁男性酗酒者，同时患有MBD和PRES，经正确诊断和及时治疗后预后良好。
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