一位 79 岁女性，头痛进行性加重和硬脑膜强化：国家多发性硬化症学会病例会议记录的一个病例报告。
A 79-Year-Old Woman With Worsening Headaches and Pachymeningeal Enhancement: A Case Report From the National Multiple Sclerosis Society Case Conference Proceedings.
机构信息
From the Harvard Medical School (M.S.S., T.C.); Department of Neurology (M.S.S., T.C.), Brigham and Women's Hospital, Boston, MA; Department of Neurology (D.E.H., J.C.M.), Johns Hopkins University School of Medicine, Baltimore, MD; Department of Neurology and Program in Immunology (S.S.Z.), University of California at San Francisco; Department of Neurology (M.D.G.), Virginia Commonwealth University, Richmond; and Department of Neurology (C.R.), Columbia University, New York.
出版信息
Neurol Neuroimmunol Neuroinflamm. 2024 Nov;11(6):e200308. doi: 10.1212/NXI.0000000000200308. Epub 2024 Aug 27.
A 79-year-old woman presented with subacutely worsening headaches and right arm weakness. MRI showed diffuse pachymeningeal enhancement. Serologic workup revealed elevated erythrocyte sedimentation rate and C-reactive protein. CSF demonstrated elevated opening pressure, a lymphocytic pleocytosis, and elevated protein. We discuss our differential diagnosis and distinguish between 2 overlapping clinical entities.
一位 79 岁女性因亚急性加重的头痛和右臂无力就诊。MRI 显示弥漫性硬脑膜增强。血清学检查显示红细胞沉降率和 C 反应蛋白升高。CSF 显示颅内压升高、淋巴细胞增多和蛋白升高。我们讨论了鉴别诊断，并区分了 2 种重叠的临床实体。
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