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[儿童支原体性脑膜脑炎和脑脊髓炎]

[Mycoplasma meningoencephalitis and encephalomyelitis in children].

作者信息

Savel'eva E A, Tsinzerling V A

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1978;78(2):198-203.

PMID:345697
Abstract

The authors report of some results of clinico-morphological studies in generalized mycoplasmic infections in 7 babies, who died from meningoencephalitis and encephalomyelitis. Morphological studies of the CNS demonstrated not only structural tissue changes, but permitted to detect the agent-mycoplasma. A clinical diagnosis of mycoplasmic lesions of the nervous system is of certain difficulty due to the polymorphism of neurological signs. The clinical picture of the nervous system affection consisted of disorders of cortical functions in combination with the pathology of the subcortical structures, disorders in the brain stem and the spinal cord. The initial symptom of the nervous system affection in 5 cases was a convulsive syndrome, in 2--bulbar disorders. The authors give some data testifying to a possibility of an intrauterine lesion of the CNS.

摘要

作者报告了7例死于脑膜脑炎和脑脊髓炎的婴儿全身性支原体感染的临床形态学研究结果。中枢神经系统的形态学研究不仅显示了组织结构的变化,还能检测到病原体——支原体。由于神经体征的多态性,神经系统支原体病变的临床诊断存在一定困难。神经系统受累的临床表现包括皮质功能障碍并伴有皮质下结构病变、脑干和脊髓病变。5例患者神经系统受累的初始症状为惊厥综合征,2例为延髓功能障碍。作者提供了一些数据证明中枢神经系统存在宫内病变的可能性。

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