临床误诊误治Issue(8)：33-35,3.DOI:10.3969/j.issn.1002-3429.2015.08.013
误诊为脑干梗死的老年脑干脑炎临床分析
Clinical Analysis of Senile Brainstem Encephalitis Misdiagnosed as Brainstem Infarction
徐依成 1孙奉辉 2杨磊 3王培福 1李继来 1杜继臣1
作者信息
- 1. 100049 北京，航天中心医院神经内科
- 2. 100080 北京，北京大学第三医院海淀院区神经内科
- 3. 100044 北京，朝阳医院神经内科
- 折叠
摘要
Abstract
Objective To analyze causes of misdiagnosis of senile brainstem encephalitis as brainstem infarction and to discuss the measures to avoid misdiagnosis and mistreatment. Methods We collected clinical data of 5 cases of senile brainstem encephalitis who were hospitalized in Aerospace Center Hospital and Chaoyang Hospital of Beijing during January 2010 and December 2013, and the causes of misdiagnosis were analyzed. Results All of the 5 cases had the risk factors for stroke, 1 of the 5 cases had definite manifestation of previous infection. The major complains were dizziness and weakness. Commen signs included ball paralysis, central facial paralysis, trigeminal nerve injury, pyramidal tract signs. 2 of the 5 cases had respiratory failure. All of the 5 cases had been misdiagnosed as brainstem infarction during their first visit. And brainstem encephalitis was confirmed after brain MRI scanning. All the patients underwent glucocorticoid treatment for 3 weeks to 1 month. 1 patient recovered, 4 patients improved obviously, and no recurrence occurred after they were followed up for 1 year after discharge. Conclusion The clinical manifestations of senile brainstem encephalitis are lack of specificity and tend to be misdiagnosed. To improve the awareness of senile brainstem encephalitis and to pay more attention to the differential diagnosis may reduce or avoid misdiagnosis and mistreatment of brain stem encephalitis.关键词
脑炎/脑干/老年人/误诊/脑梗死Key words
Encephalitis/Brain stem/Aged/Misdiagnosis/Brain infarction分类
医药卫生引用本文复制引用
徐依成,孙奉辉,杨磊,王培福,李继来,杜继臣..误诊为脑干梗死的老年脑干脑炎临床分析[J].临床误诊误治,2015,(8):33-35,3.
