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亚急性硬化性全脑炎(SSPE)。病例报告。

Subacute sclerosing panencephalitis (SSPE). A case report.

作者信息

Brudet-Wickel C L, Hogeweg M, de Wolff-Rouendaal D

出版信息

Doc Ophthalmol. 1982 Jan 29;52(3-4):241-50. doi: 10.1007/BF01675854.

DOI:10.1007/BF01675854
PMID:7067595
Abstract

A report is given of the fundus changes in a 17-year-old boy suffering from SSPE, which clinically first manifested itself by visual disturbances. At first the right eye showed extensive yellowish-white oedema at the posterior pole, surrounded by smaller round, yellow, partly confluent lesions, passing into a scarring stage in about ten days. Fluorescein angiography of the right eye was performed, both in the acute stage, which suggested a Harada syndrome, and in the scarring stage, which resembled a disseminated chorioretinitis. Three weeks later, during the development of the general neurological symptoms, the left eye developed the same fundus picture and course as the right eye. The condition of the patient rapidly deteriorated, leading to death five weeks after the onset of his visual complaints.

摘要

报告了一名17岁患有亚急性硬化性全脑炎(SSPE)男孩的眼底变化,该疾病临床上最初表现为视觉障碍。起初,右眼后极部出现广泛的黄白色水肿,周围有较小的圆形、黄色、部分融合的病变,约十天后进入瘢痕形成阶段。对右眼进行了荧光素血管造影,在急性期提示为原田综合征,在瘢痕形成期则类似播散性脉络膜视网膜炎。三周后,在出现全身神经症状期间,左眼出现了与右眼相同的眼底表现和病程。患者病情迅速恶化,在出现视觉症状后五周死亡。

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1
Subacute sclerosing panencephalitis (SSPE). A case report.亚急性硬化性全脑炎(SSPE)。病例报告。
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引用本文的文献

1
Subacute sclerosing panencephalitis: fundus changes and histopathologic correlations.亚急性硬化性全脑炎:眼底改变与组织病理学相关性
Doc Ophthalmol. 1983 Dec 15;56(1-2):11-21. doi: 10.1007/BF00154703.
2
Alteration of the blood-retina barriers in cases of viral retinitis.病毒性视网膜炎病例中血视网膜屏障的改变。
Int Ophthalmol. 1985 Sep;8(3):159-66. doi: 10.1007/BF00136493.

本文引用的文献

1
[A Subacute Sclerosing Leukoencephalitis].[亚急性硬化性全脑炎]
J Neurol Neurosurg Psychiatry. 1945 Jul-Oct;8(3-4):101-20. doi: 10.1136/jnnp.8.3-4.101.
2
Cellular Inclusions in Cerebral Lesions of Lethargic Encephalitis.昏睡性脑炎脑损伤中的细胞内含物
Am J Pathol. 1933 Jan;9(1):7-16.3.
3
[The clinical form of central chorioretinal changes in subacute sclerosing leukoencephalitis (van Bogaert)].[亚急性硬化性全脑炎(范·博加尔特病)中中心性脉络膜视网膜病变的临床形式]
Ophthalmologica. 1969;157(6):427-41. doi: 10.1159/000305707.
4
[Various aspects of virus encephalitis, specifically subacute sclerosing panencephalitis, and their relationships to electroencephalography].[病毒脑炎的各个方面,特别是亚急性硬化性全脑炎,及其与脑电图的关系]
Maandschr Kindergeneeskd. 1970 Oct;38(8):193-205.
5
Ophthalmic manifestations of subacute sclerosing panencephalitis.亚急性硬化性全脑炎的眼部表现
Arch Ophthalmol. 1970 Apr;83(4):426-35. doi: 10.1001/archopht.1970.00990030426007.
6
Fluoroangiographic picture of the macular lesion in subacute sclerosing leukoencephalitis van Bogaert.
Ophthalmologica. 1971;162(6):348-54. doi: 10.1159/000306304.
7
Reflections on the etiology and pathogenesis of subacute sclerosing panencephalitis.亚急性硬化性全脑炎的病因与发病机制思考
Neurology. 1968 Jan;18(1 Pt 2):1-7. doi: 10.1212/wnl.18.1_part_2.1.
8
Ophthalmoscopic findings in subacute sclerosing panencephalitis.亚急性硬化性全脑炎的眼底镜检查结果。
Br J Ophthalmol. 1973 Oct;57(10):780-7. doi: 10.1136/bjo.57.10.780.
9
Fluoroangiographic picture of the acute stage of the retinal lesion in subacute sclerosing panencephalitis.亚急性硬化性全脑炎视网膜病变急性期的荧光血管造影图片。
Ophthalmologica. 1978;177(5):264-9. doi: 10.1159/000308778.