Barletta L, Simonetti F, Karau J, Manni R, Uggetti C, Poloni T E, Pergami P, Savoldi F, Ceroni M
Fondazione Istituto Neurologico C. Mondino, Pavia, Italien.
Nervenarzt. 1995 Oct;66(10):781-4.
We report the case of a 34-year old patient who first complained of fever, confusion and transient ophthalmoplegia and then developed akinetic mutism, frontal lobe, pyramidal tract and extrapyramidal signs. Clinical and electrophysiological data support a diagnosis of encephalitis lethargica. Magnetic resonance imaging showed hyperintensive lesions in various brain regions. The patient responded to corticosteroid treatment. Two years after the onset of the first clinical signs he had recovered completely and today, after 5 years, he shows no sign of disease.
我们报告了一名34岁患者的病例，该患者最初出现发热、意识模糊和短暂性眼肌麻痹，随后发展为运动不能性缄默症、额叶、锥体束和锥体外系体征。临床和电生理数据支持昏睡性脑炎的诊断。磁共振成像显示多个脑区有高强度病变。患者对皮质类固醇治疗有反应。首次出现临床症状两年后，他已完全康复，如今，5年过去了，他没有疾病迹象。
