布朗-塞卡德综合征作为一种表现的异常病变性传递性脑膜炎
Estanislao Díaz Pumará1, Ariel Cheistwer1, Lorena Mirón1
1Unit 6; Hospital General de Niños Ricardo Gutiérrez, City of Buenos Aires, Argentina.
Archivos argentinos de pediatria
|August 18, 2023
概括
布朗-塞卡德综合征是由脊髓半截裂引起的,可能是炎症造成的. 这份病例报告详细介绍了一名患有异常性横侧髓炎的12岁男孩,他在接受皮质类固醇治疗后康复良好.
科学领域:
- 神经学 神经学
- 脊髓医学 脊髓医学
- 炎症性疾病 炎症性疾病
背景情况:
- 布朗-塞卡德综合征是一种由脊髓半截切而产生的神经疾病.
- 原因包括创伤,炎症,缺血,瘤和感染,创伤是最常见的.
- 本报告侧重于一个罕见的儿科病例,其呈现是急性,渐进的.
研究的目的:
- 报告一个儿科病人的布朗-塞卡德综合征病例.
- 为了突出异常性横向髓炎作为脊髓半截裂的原因.
- 描述临床表现,诊断发现和治疗结果.
主要方法:
- 一个12岁男孩出现急性神经缺陷的案例报告.
- 临床检查显示两侧和两侧感觉损失.
- 脊髓MRI显示胸部水平的炎症.
- 诊断异常性横侧髓炎和用静脉注射皮质类固醇治疗.
主要成果:
- 患者表现出脊髓的右半截切,与ipsilateral hypo/areflexic 和对侧失去了热学感觉.
- 磁力共振成像证实了脊髓右侧T2-T3水平的炎症.
- 患者在高剂量皮质类固醇治疗后表现出良好的临床过程.
结论:
- 异形性横侧髓炎可以在儿童中呈现为布朗-塞卡德综合征.
- 及时诊断和用皮质类固醇治疗可以导致显著的神经恢复.
- 这一案例强调了考虑脊髓半截裂的炎症原因的重要性.
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