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[儿科首次脱髓鞘事件的临床表现]

[Clinical presentation of the first demyelinating event in pediatrics].

作者信息

Sbruzzi Agustina Del Rosario, Nasif Salome, Coloski Macarena, Pajariño Santiago, Gambarrutta Fabian, Franco Paloma, Jardi Mailen

机构信息

Hospital de Niños Pedro de Elizalde.

出版信息

Rev Fac Cien Med Univ Nac Cordoba. 2023 Mar 31;80(1):52-54. doi: 10.31053/1853.0605.v80.n1.29664.

Abstract

INTRODUCTION

Isolated Clinical Syndrome (ACS) refers to the first clinical event with characteristics suggestive of multiple sclerosis (MS).

CLINICAL CASE

We report the case of a previously healthy 8-year-old male patient hospitalized for altered gait with suspicion of transverse myelitis. Spinal MRI was performed showing evidence of hyperintense D3-D5 lesion in T2. He receives treatment with intravenous corticosteroid therapy and with the result of oligoclonal bands in serum and CSF, a diagnosis of ACS is made.

CONCLUSION

The objective is to describe a rare form of manifestation of demyelinating disease in pediatric age and to assess the importance of timely diagnosis and treatment.

摘要

引言

孤立临床综合征(ACS)指具有提示多发性硬化(MS)特征的首个临床事件。

临床病例

我们报告一例先前健康的8岁男性患者,因步态异常入院,怀疑患有横贯性脊髓炎。进行了脊髓磁共振成像(MRI)检查,结果显示T2加权像上D3 - D5节段有高信号病变。他接受了静脉注射皮质类固醇治疗,鉴于血清和脑脊液中寡克隆带的检测结果,诊断为ACS。

结论

目的是描述小儿年龄阶段脱髓鞘疾病的一种罕见表现形式,并评估及时诊断和治疗的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f7b/10142676/fe4339242adb/1853-0605-80-1-052-g001.jpg

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