一位 73 岁女性，表现为意识模糊、视野障碍和水肿性白质病变：来自国家多发性硬化症学会病例会议记录。
A 73-Year-Old Woman With Confusion, Visual Field Disturbances, and Edematous White Matter Lesions: From the National Multiple Sclerosis Society Case Conference Proceedings.
机构信息
From the Department of Neurology (Z.R., S.P.), Vanderbilt University Medical Center, Nashville, TN; Department of Neurology (M.D.G.), Virginia Commonwealth University, Richmond; Department of Neurology (C.R.), Columbia University; and Department of Neurology (S.S.Z.), University of California San Francisco.
出版信息
Neurol Neuroimmunol Neuroinflamm. 2024 Sep;11(5):e200300. doi: 10.1212/NXI.0000000000200300. Epub 2024 Aug 14.
We describe the case of a 73-year-old woman presenting with headaches, confusion, and vision disturbances. Brain MRI showed a large T2-hyperintense lesion in the right temporo-occipital region with vasogenic edema and leptomeningeal enhancement. A leptomeningeal biopsy was performed, which led to a definitive diagnosis.
我们描述了一例 73 岁女性，主要表现为头痛、意识混乱和视力障碍。脑部 MRI 显示右侧颞枕叶区域有一个大的 T2 高信号病变，伴有血管源性水肿和软脑膜增强。进行了软脑膜活检，明确了诊断。
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