Schulze H A
Neurol Neurochir Pol. 1978 Nov-Dec;12(6):705-10.
The course of the disease was analysed from the standpoint of the diagnostic value of various clinical manifestations in a group of 200 patients with preliminary diagnosis of encephalitis or meningoencephalitis and in a group of 200 cases with finally established diagnosis of these diseases. In the group of patients referred as encephalitis cases the diagnosis was erroneous in 31% of cases, while in the group with finally established diagnosis of encephalitis the proportion of patients with erroneous initial diagnosis was 42%. In two-thirds of cases with erroneous diagnosis in the first group cerebral circulatory failure was the cause. On the other hand, however, these circulatory disturbances were a frequent cause of diagnostic errors in cases of encephalitis. After establishing the frequency of different pathological manifestations in the group of encephalitis and in the group with cerebrovascular disturbances the most characteristic symptoms and signs in each of these groups were listed.
从各种临床表现的诊断价值角度，对一组初步诊断为脑炎或脑膜脑炎的200例患者以及另一组最终确诊为这些疾病的200例患者的病程进行了分析。在被诊断为脑炎的患者组中，31%的病例诊断有误，而在最终确诊为脑炎的患者组中，初始诊断错误的患者比例为42%。在第一组诊断错误的病例中，三分之二是由脑循环衰竭引起的。然而，另一方面，这些循环障碍也是脑炎病例诊断错误的常见原因。在确定了脑炎组和脑血管疾病组中不同病理表现的发生率后，列出了每组中最具特征性的症状和体征。
