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带状疱疹及其神经并发症。

Herpes zoster and its neurological complications.

作者信息

Chang C M, Woo E, Yu Y L, Huang C Y, Chin D

机构信息

Department of Medicine, Queen Mary Hospital, University of Hong Kong.

出版信息

Postgrad Med J. 1987 Feb;63(736):85-9. doi: 10.1136/pgmj.63.736.85.

Abstract

Ninety-three Chinese patients with cutaneous herpes zoster were seen during a 4-year period. Thoracic zoster occurred most commonly, followed by ophthalmic, cervical and lumbosacral zoster. Neurological complications were present in eleven patients (11.8%), the commonest being Ramsay-Hunt syndrome and segmental limb paresis. The clinical picture, pathogenesis, treatment and outcome of segmental limb paresis, myelitis and delayed contralateral hemiparesis following zoster ophthalmicus are discussed. Nine immunocompromised patients received intravenous adenine arabinoside (vidarabine) or acycloguanosine (acyclovir), and no cutaneous or visceral spread occurred in these patients.

摘要

在4年期间共诊治了93例中国皮肤带状疱疹患者。胸段带状疱疹最为常见,其次是眼带状疱疹、颈段带状疱疹和腰骶段带状疱疹。11例患者(11.8%)出现神经并发症,最常见的是拉姆齐-亨特综合征和节段性肢体轻瘫。本文讨论了眼带状疱疹后节段性肢体轻瘫、脊髓炎和延迟性对侧偏瘫的临床表现、发病机制、治疗及预后。9例免疫功能低下患者接受了静脉注射阿糖腺苷(阿糖胞苷)或阿昔洛韦,这些患者均未出现皮肤或内脏播散。

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本文引用的文献

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ZOSTER ENCEPHALOMYELITIS.带状疱疹性脑脊髓炎
Arch Neurol. 1964 Aug;11:155-72. doi: 10.1001/archneur.1964.00460200051005.
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Herpes zoster encephalitis.带状疱疹性脑炎
Am J Med. 1962 Jan;32:25-31. doi: 10.1016/0002-9343(62)90179-1.
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Motor complications of herpes zoster.带状疱疹的运动并发症
Br Med J. 1957 Sep 14;2(5045):616-8. doi: 10.1136/bmj.2.5045.616.
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Myelopathy after herpes zoster.带状疱疹后脊髓病
Arch Neurol. 1983 Jul;40(7):445-6. doi: 10.1001/archneur.1983.04050070075020.
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Br Med J (Clin Res Ed). 1981 Sep 12;283(6293):698-9. doi: 10.1136/bmj.283.6293.698-a.
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Pathogenesis of varicella-zoster angiitis in the CNS.中枢神经系统水痘-带状疱疹血管炎的发病机制。
Arch Neurol. 1980 Apr;37(4):239-40. doi: 10.1001/archneur.1980.00500530077013.

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