磁共振成像和计算机断层扫描证实的急性播散性脑脊髓炎。病例报告。

Acute disseminated encephalitis documented by magnetic resonance imaging and computed tomography. Report of a case.

作者信息

Kappelle L J, Wokke J H, Huynen C H, van Gijn J

出版信息

Clin Neurol Neurosurg. 1986;88(3):197-202. doi: 10.1016/s0303-8467(86)80029-4.

Abstract

A 16-year-old girl developed left hemispheric deficits, which were followed by clouding of consciousness, quadriplegia, and subcortical blindness. Although we could not demonstrate a recent viral infection, the clinical features, laboratory and radiologic findings strongly suggested the diagnosis acute disseminated encephalitis. Cerebrospinal fluid abnormalities incompletely correlated with the clinical course. In contrast, X-ray computed tomography and particularly magnetic resonance imaging of the head closely reflected disease and improvement.

摘要

一名16岁女孩出现左侧半球功能缺损，随后出现意识模糊、四肢瘫痪和皮质下失明。尽管我们未能证实近期有病毒感染，但临床特征、实验室及影像学检查结果强烈提示诊断为急性播散性脑脊髓炎。脑脊液异常与临床病程不完全相关。相比之下，头部X线计算机断层扫描尤其是磁共振成像能密切反映病情及好转情况。