临床误诊误治Issue(10)：97-100,4.DOI:10.3969/j.issn.1002-3429.2015.10.034
脑干脑炎临床及影像学特点研究
Clinical Manifestations and Imaging Features of Brainstem Encephalitis
徐依成 1才丽娜 1杨磊 2魏光如 3李继来 1王培福1
作者信息
- 1. 100049 北京，航天中心医院神经内科
- 2. 100020 北京，首都医科大学附属北京朝阳医院神经内科
- 3. 100044 北京，北京大学人民医院神经内科
- 折叠
摘要
Abstract
Objective To investigate the clinical and neuroimaging features of brainstem encephalitis to avoid the misdiagnosis and mistreatment. Methods Retrospective analysis of the clinical data of 15 cases with brain stem encephalitis was conducted. Results Precursor infection history was reported in 4 cases;mainly in young adults;dizziness and unstable walking instability were common clinical symptoms and bulbar paralysis and hiccup were the relatively specific symptoms. Pons and medulla were the primary lesions. Typical feature was rarely found in cerebrospinal fluid examination, and protein-cell separation phenomenon was found in 3 cases; self-healing occurred in 1 case, the others were given glucocorticoid and ( or) immune globulin and ( or) antiviral therapy. 13 cases turned for the better significantly, and recurrence was reported in 1 case. Conclusion The etiology of brain stem encephalitis is unclear. Diagnosis of brain stem encephalitis should be based on the comprehensive analysis of clinical manifestations, clinical features and auxiliary examination results. Dynamic brain MRI examination is helpful to the diagnosis. The disease responds well to glucocorticoids, gamma globulin and antiviral drugs with favorable prognosis.关键词
脑炎/磁共振成像/治疗/误诊Key words
Encephalitis/Magnetic resonance imaging/Therapy/Misdiagnosis分类
医药卫生引用本文复制引用
徐依成,才丽娜,杨磊,魏光如,李继来,王培福..脑干脑炎临床及影像学特点研究[J].临床误诊误治,2015,(10):97-100,4.
