维尼克脑病变呈现与不适当的抗尿激素综合征
Chloe Braun1, Charli Cohen1, Lece Webb1
1University of Alabama, Birmingham, Children's of Alabama, Birmingham, Alabama.
Pediatric neurology
|January 10, 2025
概括
维尼克脑病,一种由胺缺乏引起的神经系统疾病,在儿童中可异常表现为低血症. 早期诊断和用胺治疗对于恢复至关重要.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 营养科学 营养科学
背景情况:
- 韦尼克脑病 (Wernicke encephalopathy,简称WE) 是一种由胺缺乏症引起的神经疾病.
- 经典地,WE呈现出混乱,眼睛和心力衰竭.
- 在儿科患者中,WE的描述较少,其表现与失血症是罕见的.
研究的目的:
- 描述一个儿科患者出现低血症的韦尼克脑病症病例.
- 突出考虑WE在SIADH儿童改变精神状态的差异诊断中的重要性.
- 强调儿童发育迟缓和饮食限制患者需要保持警.
主要方法:
- 一个21个月大的男性患有发育迟缓和限制性饮食习惯的病例报告.
- 临床评估包括神经学检查和电解质实验室测试.
- 大脑磁共振成像 (MRI) 用于评估神经学发现.
- 用胺治疗和纠正低血症.
主要成果:
- 患者呈现焦点神经缺陷和低血,与SIADH一致.
- 大脑MRI揭示了发现表明韦尼克脑病变的发现.
- 患者在胺剂和低血症纠正后表现出改善.
结论:
- 沃尼克脑病变可以异常呈现与低血,即使在儿科病例.
- 这一案例强调了在患有SIADH和精神状态改变的儿童中考虑WE的重要性.
- 儿科医生应保持对发育迟缓和饮食限制儿童罕见并发症的高度怀疑指数.
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