变化的精神状态和第一次发作在青少年的亚急性内体质量
Kassondra M Little1, Emily Speck2, Christian D Pulcini2,3,4
1Larner College of Medicine, University of Vermont, Burlington, Vermont.
Pediatrics
|April 16, 2025
概括
一个13岁的男孩经历了发作和精神状态的改变. 诊断工作揭示了腹和反应性淋巴腺病,促使进一步调查潜在的传染病因.
科学领域:
- 儿科神经学 儿科神经学
- 传染性疾病 传染性疾病
- 皮肤病学 皮肤病学
背景情况:
- 一个健康的13岁男孩出现了普遍的类似发作的活动.
- 他在两周的病史中出现了一种进展的右 inguinal 皮疹和疼痛,对抗生素没有反应.
研究的目的:
- 介绍一个13岁男孩的病例,他有发作和腹.
- 讨论本次演讲的诊断工作和差异诊断.
主要方法:
- 临床表现和病史,包括广泛的动物暴露.
- 实验室评估,包括脑脊液 (CSF) 分析.
- 影像研究:头部计算机断层扫描 (CT),部损伤的超声波,视频脑电图 (EEG),脑磁共振成像 (MRI) 和磁共振静脉图 (MRV).
主要成果:
- 最初的评估并不显著,但 inguinal 超声波显示出一个囊与皮下水和反应性淋巴腺症.
- 脑脊液分析显示轻度细胞形成,葡萄糖正常,蛋白质略高.
- 脑电图显示双边大脑功能障碍;大脑MRI/MRV正常. 脊髓和病变培养是负的.
结论:
- 这一案例凸显了在患有神经症状和皮肤病变的儿科患者中考虑异常感染病因的重要性.
- 需要进一步调查,以确定这个复杂的表现的最终诊断和适当的管理.
![Semi-quantitative Assessment Using [18F]FDG Tracer in Patients with Severe Brain Injury](/_next/image?url=https%3A%2F%2Fcloudfront.jove.com%2FCDNSource%2Fteasers%2F58641.jpg&w=3840&q=50)
相关概念视频
01:13Seizures: Classification
284
Epilepsy is primarily characterized by unpredictable seizures, either provoked by an identifiable factor, such as injury or illness, or unprovoked, occurring spontaneously without apparent cause.
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
Seizures are typically classified into two main categories: focal and generalized seizures.
Focal Seizures
Focal seizures originate from specific regions of the brain. These seizures are further sub-classified into two types:
284
01:24Arteries of the Lower Limbs
166
Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
166