疑似进行性风疹全脑炎病例中的肌阵挛

Myoclonus in a case of suspected progressive rubella panencephalitis.

作者信息

Abe T, Nukada T, Hatanaka H, Tajima M, Hiraiwa M, Ushijima H

出版信息

Arch Neurol. 1983 Feb;40(2):98-100. doi: 10.1001/archneur.1983.04050020060012.

DOI:10.1001/archneur.1983.04050020060012

Abstract

Predominantly unilateral myoclonus induced by movement of the affected parts in a 21-year-old Japanese man with suspected progressive rubella panencephalitis appeared in the course of treatment for epilepsy with anticonvulsant drugs after five years. Antirubella antibody levels in the serum and CSF were elevated and IgM antibody against rubella was found in the serum. An EEG recorded while the patient was awake showed diffuse 3- to 4-Hz theta activity with high voltage. The neurological symptoms are progressing slowly.

摘要

一名21岁疑似进行性风疹全脑炎的日本男性，在使用抗惊厥药物治疗癫痫五年后，出现主要由患侧肢体运动诱发的单侧肌阵挛。血清和脑脊液中的抗风疹抗体水平升高，血清中发现抗风疹IgM抗体。患者清醒时记录的脑电图显示弥漫性3至4赫兹高电压θ活动。神经症状进展缓慢。