儿童Mollaret脑膜炎3例报告并文献复习

目的 探讨MoIlaret脑膜炎(MM)的病因、发病机制、临床特征、诊断及治疗.方法 回顾性分析确诊的3例MM患儿的临床特点,并结合文献进行总结.结果 3例患儿均有发热、呕吐、头痛或惊厥、脑膜刺激征及反复多次发作的特征,抗菌、抗病毒及对症治疗后1周内能够迅速缓解.结论 Mollaret脑膜炎是临床上少见疾病,儿童病例更少,具有自限性,预后良好,提高对Mollret脑膜炎的早期识别率,可避免不必要的检查和治疗,同时应寻找与其可能相关的病因.

Mollaret meningitis in children: report of three eases and literature review

Objectives To investigate the etiopathogenesis,pathogenesis,clinical features,diagnosis and treatment of Mollaret meningitis(MM). Methods The clinical features of three cases of MM were retrospectively analyzed and the related literatures reviewed. Results The three cases of childhood MM presented with recurrent fever,vomiting,headache,or convulsion,which could be relieved quickly by antibiosis,antivirus and symptomatic treatment for about one week. Conclusions Mollaret meningitis is a rare disease,especially in children. The course of the disease is time-limit and its prognosis is good. Recognizing MM in earlier stage could avoid unnecessary examination and therapy,while the etiopathogenisis should be searched continuously.