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儿童急性坏死性脑病的诊断难点:一例报告

Difficulties in Diagnosis Acute Necrotizing Encephalopathy of Childhood: A Case Report.

作者信息

Handryastuti Setyo, Silvana Sisca, Yunus Reyhan Eddy, Taufiqqurrachman Iqbal, Rafli Achmad

机构信息

Department of Child Health, Dr.Cipto Mangunkusumo Tertiary General Hospital, Faculty of Medicine Universitas Indonesia Jakarta, Indonesia.

HKBP Nommensen University, Medan, Indonesia.

出版信息

Child Neurol Open. 2022 May 3;9:2329048X221095699. doi: 10.1177/2329048X221095699. eCollection 2022 Jan-Dec.

DOI:10.1177/2329048X221095699
PMID:35529302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9073109/
Abstract

Acute necrotizing encephalopathy of childhood (ANEC) is a rare condition of encephalopathy which commonly occurs in healthy children. This case report will discuss the diagnostic approach in a female child, three years old, with neurologic deficits. The diagnostic approach of ANEC consists of clinical manifestation, laboratory examination, cerebrospinal fluid (CSF) analysis, and neuroimaging interpretation. The patient had high liver enzyme, normal CSF analysis with appearances of edema, hemorrhage and necrosis in serial brain magnetic resonance imaging (MRI).

摘要

儿童急性坏死性脑病(ANEC)是一种罕见的脑病,常见于健康儿童。本病例报告将讨论一名3岁有神经功能缺损女童的诊断方法。ANEC的诊断方法包括临床表现、实验室检查、脑脊液(CSF)分析和神经影像学解读。该患者肝酶升高,脑脊液分析正常,连续脑部磁共振成像(MRI)显示有水肿、出血和坏死表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1114/9073109/f618cb42a863/10.1177_2329048X221095699-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1114/9073109/ce66a743ca7e/10.1177_2329048X221095699-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1114/9073109/1c067562cc4d/10.1177_2329048X221095699-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1114/9073109/f618cb42a863/10.1177_2329048X221095699-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1114/9073109/ce66a743ca7e/10.1177_2329048X221095699-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1114/9073109/1c067562cc4d/10.1177_2329048X221095699-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1114/9073109/f618cb42a863/10.1177_2329048X221095699-fig3.jpg

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本文引用的文献

1
Acute Necrotizing Encephalopathy of Childhood: A Multicenter Experience in Saudi Arabia.儿童急性坏死性脑病:沙特阿拉伯的多中心经验
Front Pediatr. 2020 Oct 9;8:526. doi: 10.3389/fped.2020.00526. eCollection 2020.
2
A Rare Case Report of Acute Necrotizing Encephalopathy of Childhood.儿童急性坏死性脑病一例罕见病例报告
Iran J Child Neurol. 2020 Winter;14(1):133-137.
3
Acute Necrotizing Encephalopathy of Childhood (ANEC): A Case Report.儿童急性坏死性脑病(ANEC):一例报告
一名青少年男性甲型流感后暴发性急性坏死性脑病的死亡危险因素。
Clin Case Rep. 2023 Apr 23;11(4):e7253. doi: 10.1002/ccr3.7253. eCollection 2023 Apr.
Iran J Child Neurol. 2017 Winter;11(1):75-77.
4
Acute necrotizing encephalopathy: an underrecognized clinicoradiologic disorder.急性坏死性脑病:一种未被充分认识的临床放射学疾病。
Mediators Inflamm. 2015;2015:792578. doi: 10.1155/2015/792578. Epub 2015 Mar 22.
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Acute necrotizing encephalopathy of childhood; a case report.儿童急性坏死性脑病;一例病例报告。
Iran J Child Neurol. 2013 Spring;7(2):51-4.
6
Acute necrotizing encephalopathy of childhood: correlation of MR findings and clinical outcome.儿童急性坏死性脑病:磁共振成像表现与临床结局的相关性
AJNR Am J Neuroradiol. 2006 Oct;27(9):1919-23.