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[一名5岁男孩的急性小脑性共济失调。临床警示]

[Acute cerebellar ataxia in a 5-year-old boy. Clinical warnings].

作者信息

Mrozińska M, Horwath A, Ostoja-Chrzastowski W

机构信息

Kliniki Gastroenterologii i Zywienia Dzieci Akademii Medycznej w Warszawie.

出版信息

Wiad Lek. 1998;51(7-8):383-7.

PMID:9748896
Abstract

A case of acute cerebellar ataxia caused by ECHO virus 30.5-year-old boy admitted to the Clinic of Gastroenterology and Nutrition in Warsaw, in September, 1996, complaining of headache, dizziness, weakness, somnolence, dysarthria and an unsteady walk. On neurological examination he had imparied coordination, rombergism, generalized hypotonia. There was no history of exposure to contagious diseases, ear discharge, convulsions, trauma. Parents suggested that the child could have swallowed an unidentified pill--toxicological tests ruled out poisoning. The diagnosis is based on the clinical examination and amplification ECHO virus from CSF.

摘要

1996年9月,一名5岁男孩因感染埃可病毒30型引发急性小脑性共济失调,被送往华沙胃肠病学与营养诊所。患儿主诉头痛、头晕、乏力、嗜睡、构音障碍及步态不稳。神经系统检查发现其协调性受损、闭目难立征阳性、全身肌张力减退。患儿无接触传染病史、耳部流脓史、惊厥史及外伤史。家长称孩子可能误服了不明药丸,但毒理学检测排除了中毒可能。诊断依据临床检查及脑脊液中埃可病毒的扩增结果。

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