d'Escrienne M M, Velin P, Filippigh P, Steyaert H, Valla J S, Perelman S, Dupont D
Centre médical infantile, hôpital pour Enfants, Nice, France.
Arch Pediatr. 1996 Jan;3(1):44-6. doi: 10.1016/s0929-693x(96)80008-x.
Intussusception encephalopathy, a misleading form in which neurological symptoms are obvious, is classic but rarely described.
A 21 month-old infant was admitted because he had suffered from fluctuating consciousness and apathy for a few hours. Vomiting occurred soon afterwards. Search for dehydration, meningitis, encephalitis, poisoning... was negative; the abdomen was tender leading to ultrasonography that showed a sausage-shaped tumor. The ileocolic intussusception was successfully reduced with a gas enema.
A striking degree of lethargy associated with vomiting may overshadow to a considerable extent the classical intestinal manifestations. A possible endogenous opioid poisoning by massive secretion of endorphins during pain's paroxysm is one of the hypotheses explaining this type of presentation.
肠套叠性脑病是一种以神经症状明显为特征的误导性形式，虽为经典病症但鲜有描述。
一名21个月大的婴儿因数小时来意识波动和淡漠入院。随后不久出现呕吐。对脱水、脑膜炎、脑炎、中毒等的检查均为阴性；腹部压痛，经超声检查显示有腊肠样肿物。经气体灌肠成功复位回盲部肠套叠。
与呕吐相关的显著嗜睡程度可能在很大程度上掩盖经典的肠道表现。疼痛发作时内啡肽大量分泌导致内源性阿片类中毒是解释此类表现的假说之一。
