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| 艾滋病伴发进行性多灶性白质脑病1例报道并文献复习 | |
| 引用本文： | 刘正琴,徐大飞,殷剑,李墨,秦巧玲,陈海波. 艾滋病伴发进行性多灶性白质脑病1例报道并文献复习[J]. 中国神经免疫学和神经病学杂志, 2011, 18(4): 261-263,268. DOI: 10.3969/j.issn.1006-2963.2011.04.011 |
| 作者姓名： | 刘正琴 徐大飞 殷剑 李墨 秦巧玲 陈海波 |
| 作者单位： | 1. 北京医院神经内科,100730 2. 安徽省天长市天康医院 3. 山西省襄汾县人民医院 |
| 摘 要： | 目的提高临床对艾滋病伴发的进行性多灶性白质脑病(PML)的认识,以提高其临床诊出率。方法分析1例临床诊断为艾滋病所致的PML患者的临床表现、体格检查及影像学资料。结果患者神经系统表现为认知功能减退、失用、失读等高级皮层功能障碍,右侧偏瘫及双侧深感觉减退。脑脊液检查示蛋白升高,余未见明显异常。头部MRI检查示左侧额叶、顶叶、颞叶及右侧颞枕交界处多发T2高信号影,无占位效应,且病灶无强化。结论艾滋病伴发的PML临床表现多种多样,多表现为高级皮层功能减退,对年轻、亚急性起病的患者应警惕此病的可能,以免误诊漏诊。 |
| 关 键 词： | 获得性免疫缺陷综合征 脑白质病,进行性多灶性 磁共振成像 诊断 |
A case report of progressive multifocal leukoencephalopathy associated with AIDS and literature review |
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| LIU Zheng-qin,XU Da-fei,YIN Jian,LI Mo,QIN Qiao-ling,CHEN Hai-bo. A case report of progressive multifocal leukoencephalopathy associated with AIDS and literature review[J]. Chinese Journal of Neuroimmunology and Neurology, 2011, 18(4): 261-263,268. DOI: 10.3969/j.issn.1006-2963.2011.04.011 | |
| Authors: | LIU Zheng-qin XU Da-fei YIN Jian LI Mo QIN Qiao-ling CHEN Hai-bo |
| Affiliation: | LIU Zheng-qin,CHEN Hai-bo,YIN Jian*,XU Da-fei,LI Mo,QIN Qiao-ling.*Department of Neurology,Beijing Hospital,Ministry of Health,Beijing 100730,China |
| Abstract: | Objective To enhance the cognition and the clinical diagnostic rate of progressive multifocal leukoencephalopathy(PML) associated with AIDS.Methods One case of PML associated with AIDS was presented,including clinical symptoms,physical examination and radiological manifestations.Results The patient showed many advanced cerebral cortical functional defects,such as cognitive impairment,apraxia and aphasia;right hemiplegia and bilateral proprioceptive sense decrease;the protein level in cerebrospinal fluid was... |
| Keywords: | acquired immunodeficiency syndrome leukoencephalopathy progressive multifocal MRI diagnosis |
| 本文献已被 CNKI 万方数据 等数据库收录！ | |