Shibata M, Imanaka Y, Shima M, Yoshioka A
Department of Pediatrics, Nara Medical University.
No To Hattatsu. 1997 Nov;29(6):481-7.
We encountered a case of focal encephalitis. A 5-year-old boy developed high fever and he was admitted to our hospital on the third day with generalized tonic-clonic convulsions. Cerebrospinal fluid showed slight pleocytosis. CT showed diffuse low-density area in the left temporal, parietal and occipital regions. T2 weighed MRI showed swelling and hyperintense regions in the left temporal, parietal and occipital cortex. With the disappearance of generalized convulsion, the cortical swelling improved. But aphasia and intractable complex partial seizures appeared. On MRI, the atrophic findings of the left hippocampus and temporal lesion became developed. We considered this case corresponds to focal encephalitis related to "a peculiar type of post-encephalitic/encephalopathic epilepsy" reported by Awaya et al.
我们遇到了一例局灶性脑炎病例。一名5岁男孩出现高热，第三天因全身性强直阵挛性惊厥入院。脑脊液显示轻度细胞增多。CT显示左侧颞叶、顶叶和枕叶区域有弥漫性低密度区。T2加权磁共振成像显示左侧颞叶、顶叶和枕叶皮质肿胀及高信号区。随着全身性惊厥消失，皮质肿胀有所改善。但出现了失语和难治性复杂部分性发作。在磁共振成像上，左侧海马萎缩和颞叶病变表现更为明显。我们认为该病例符合阿瓦亚等人报道的与“一种特殊类型的脑炎后/脑病性癫痫”相关的局灶性脑炎。
