临床误诊误治Issue(8)：22-25,4.DOI:10.3969/j.issn.1002-3429.2014.08.009
线粒体脑肌病伴高乳酸血症和卒中样发作误诊为脑梗死
A Case Misdiagnosed as Cerebral Infarct：Mitochondrial Myopathy, Encephalopathy, Lactic Acidosis and Stroke-Like Episodes
肖展翅 1吕衍文 1王洪敏 1王佳君 1周刚 1姜华1
作者信息
- 1. 438000 湖北 黄冈，黄冈市中心医院神经内科
- 折叠
摘要
Abstract
Objective To explore the diagnostic criteria, misdiagnosis causes and preventive measures of mitochon-drial myopathy, encephalopathy, lactic acidosis and stroke-like episodes ( MELAS) . Methods Clinical data of the MELAS patient misdiagnosed as cerebral infarct was retrospectively analyzed. Results The patient with double eyes vision loss for a day was hospitalized, and diagnosed as cerebral infarction after the body and head MRI examinations, vision of double eyes were mildly better after treatment. By DSA, MRS examinations and genetic testing, the patient was eventually confirmed as MELAS syndrome in stead of cerebral infarction. After 3-month treatment such as improving the metabolism and blood supply of the brain, the patient got better obviously, and MRI showed that the focus of head disappeared. Conclusion Clinical mani-festations being similar to acute cerebral infarction, head MRI showing cerebral infarction and knowledge of doctors being nar-row were the main causes of misdiagnosis. Strengthening learning to understand and mastering relevant knowledge of mitochon-dria encephalo-myopathy can prevent or reduce the misdiagnosis.关键词
MELAS综合征/误诊/脑梗死Key words
MELAS syndrome/Diagnostic errors/Brain infarction分类
医药卫生引用本文复制引用
肖展翅,吕衍文,王洪敏,王佳君,周刚,姜华..线粒体脑肌病伴高乳酸血症和卒中样发作误诊为脑梗死[J].临床误诊误治,2014,(8):22-25,4.
