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桥本脑病4例临床特点分析
引用本文:秦雪,何晶,陈晏,李蕾,祁俐,邹蔷薇,何志义.桥本脑病4例临床特点分析[J].卒中与神经疾病,2010,17(1):32-35,42.
作者姓名:秦雪  何晶  陈晏  李蕾  祁俐  邹蔷薇  何志义
作者单位:1. 中国医科大学附属第一医院神经内科,沈阳,110001
2. 中国医科大学92期
3. 辽宁省金秋医院
4. 沈阳市红十字会医院
摘    要:目的探讨桥本脑病的发病机制、临床表现、实验室检查特点及预后。方法分析本院收治的4例桥本脑病患者的临床资料,观察其临床表现、实验室及影像学检查特点及治疗,并随访1~2年。结果4例患者均为女性,临床表现主要为认知功能障碍、行为异常、抽搐等。实验室检查患者血清抗甲状腺抗体水平明显增高。3例经大剂量糖皮质激素冲击治疗,患者症状较前缓解,随访无复发。结论桥本脑病是一种伴有抗甲状腺抗体水平增高、对激素反应良好的脑病综合征,一般预后良好。

关 键 词:桥本脑病  抗甲状腺抗体  激素  自身免疫性疾病

The analysis of the clinical features for four patients with Hashimoto's Encephalopathy
Qin Xue,He Jing,Chen Yan,et al.The analysis of the clinical features for four patients with Hashimoto's Encephalopathy[J].Stroke and Nervous Diseases,2010,17(1):32-35,42.
Authors:Qin Xue  He Jing  Chen Yan  
Institution:Qin Xue,He Jing,Chen Yan,et al.Department of Neurology,The First Affiliated Hospital of China Medical University,Shenyang 110001
Abstract:Objective To investigate the pathogenesis,clinical presentations,laboratory features and prognosis of Hashimoto's Encephalopathy(HE).Methods We analyzed the clinical presentations,laboratory findings and treatment in 4 patients with HE who were admitted to our hospital,and followed up 1-2 years.Results 4 cases were all female.They mainly presented with cognitive dysfunctions,abnormal behaviors and seizures.We found that antithyroid antibodies were significantly higher.The symptoms of 3 cases improved after ...
Keywords:Hashimoto\'s Encephalopathy Antithyroid antibodies Steroids Autoimmune disorders  
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