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迟发性小脑共济失调为恶性疟的罕见迟发表现-病例报告。

Delayed cerebellar ataxia as a rare late presenting feature of falciparum malaria - A Case report.

机构信息

Consultant Neurologist, Department of Neurology, Pacific Medical College and Hospital, Udaipur, India.

Assistant Professor, Department of Internal Medicine, Pacific Medical College and Hospital, Udaipur, India.

出版信息

Trop Doct. 2021 Jan;51(1):119-120. doi: 10.1177/0049475520969497. Epub 2020 Nov 10.

Abstract

The majority of malarial neurological manifestations are due to plasmodium falciparum and the most dreaded is cerebral malaria. Post-malarial neurological syndrome (PMNS) is rarely reported in adults (<3%) and children (>10%) and includes a wide variety of neuro-psychiatric manifestations including the rare delayed cerebellar ataxia. We report a case of 60-year-old woman who had a prior history of fever and presented with cerebellitis. The importance of highlighting this case is because in malaria endemic regions awareness of neurological manifestations of malaria must be included in the differential diagnosis of cerebellar ataxia.

摘要

大多数疟疾神经系统表现是由恶性疟原虫引起的,最可怕的是脑型疟疾。成人(<3%)和儿童(>10%)中罕见报道疟后神经综合征(PMNS),包括广泛的神经精神表现,包括罕见的迟发性小脑共济失调。我们报告了一例 60 岁女性,有发热病史,表现为小脑炎。强调这一病例的重要性是因为在疟疾流行地区,必须将疟疾的神经系统表现纳入小脑共济失调的鉴别诊断中。

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