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蜱叮咬性脑脊神经根炎(作者译)

[Tick-bite meningoradiculitis (author's transl)].

作者信息

Goffinet A M, Laterre C

出版信息

Acta Neurol Belg. 1978 Jul-Aug;78(4):217-22.

PMID:685662
Abstract

Meningoradiculitis due to tick-bite is rare and poorly documented. Its etiology remains hypothetical, but is thought to be caused by a viral infection carried by the tick. It is characterized by a striking clinical picture, especially symptoms of a subjective nature. The involved area extends asymmetrically from the site of the bite with variable latency. The CSF is characteristic, showing definite lymphocytosis and a moderate protein reaction. The prognosis is excellent although recovery may take several months. In the event of facial paralysis, there is a risk of postparalytic spasms. Treatment is symptomatic; no drug has proved effective.

摘要

蜱叮咬所致脑脊神经根炎罕见且文献记载较少。其病因仍为假说,但认为是由蜱携带的病毒感染引起。其特点是临床表现显著,尤其是主观性症状。受累区域从叮咬部位不对称扩展,潜伏期各异。脑脊液有特征性表现,显示明确的淋巴细胞增多和中度蛋白反应。尽管恢复可能需要数月,但预后良好。若出现面瘫,有麻痹后痉挛的风险。治疗为对症治疗;尚无药物被证明有效。

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