双边视力丧失和视觉幻觉在亚急性硬化大脑炎:一个案例报告
Ravi Uniyal1, Ravindra Kumar Garg1, Hardeep Singh Malhotra1
1Department of Neurology, King George Medical University, Lucknow, India.
Neuro-ophthalmology (Aeolus Press)
|July 12, 2023
概括
亚急性硬化大脑炎 (SSPE) 可以导致急性视力丧失和幻觉. 这一案例凸显了SSPE作为急性视力丧失的罕见但关键诊断,特别是在麻疹流行地区.
科学领域:
- 神经学 神经学
- 眼科医生 眼科 眼科
- 传染性疾病 传染性疾病
背景情况:
- 急性视力丧失和幻觉可能伴随着各种神经疾病.
- 亚急性硬化大脑炎 (SSPE) 是一种罕见的,进展性神经系统疾病,与麻疹病毒感染有关.
- 早期诊断SSPE对于潜在的管理至关重要,尽管往往具有挑战性.
研究的目的:
- 报告急性视力丧失和视觉幻觉作为SSPE的主要症状.
- 强调在急性视力丧失的差异诊断中考虑SSPE的重要性,特别是在麻疹流行地区.
主要方法:
- 一个37岁的男性出现视力下降和视觉幻觉的病例报告.
- 临床检查包括脑镜,脑磁共振成像 (MRI),脑电图 (EEG) 和脑脊液 (CSF) 分析.
- 血清检测CSF的抗麻疹IgG抗体.
主要成果:
- 患者经历了严重的视力丧失,视觉幻觉和强力-克隆性发作.
- fundus 检查显示盘与出血,进展到视力缩.
- 大脑MRI显示白质和灰质中的T2超强度.
- 脑脊液分析对抗麻疹IgG抗体呈阳性,证实了SSPE.
结论:
- 急性视力丧失可能是SSPE的一个罕见的症状.
- 在急性视力丧失的差异诊断中应考虑SSPE,特别是在麻疹流行地区.
- 及时诊断和考虑SSPE可以帮助管理神经系统并发症.
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