Matsushima K, Kocha H, Watanabe R, Honda M, Nakamura N
Department of Neurology, Yokohama Municipal Hospital, Japan.
Intern Med. 1993 Jun;32(6):476-9. doi: 10.2169/internalmedicine.32.476.
We present a case in which the clinical manifestations mimicked amyotrophic lateral sclerosis (ALS) and the pathological findings showed diffuse cerebrospinal gliomatosis. Diffuse cerebrospinal gliomatosis may be disguised as ALS when it predominantly involves the spinal cord and brain stem, and may not be easily differentiated from ALS. Therefore, diffuse cerebrospinal gliomatosis should be taken into consideration in the differential diagnosis of ALS.
我们报告一例临床表现酷似肌萎缩侧索硬化症(ALS)而病理检查结果显示为弥漫性脑脊膜胶质瘤病的病例。当弥漫性脑脊膜胶质瘤病主要累及脊髓和脑干时,可能会被误诊为ALS,且不易与ALS区分开来。因此,在ALS的鉴别诊断中应考虑到弥漫性脑脊膜胶质瘤病。