结核性脑膜炎中 Paroxysmal 交感性过活:一个未被认可的关联
Aanchal Datta1, M Vishnu Vardhan2, Chhitij Srivastava2
1Department of Neurosurgery, King George Medical University, Shah Mina Rd, Chowk, Lucknow, 226003, Uttar Pradesh, India. draanchaldatta09@gmail.com.
概括
在中枢神经系统感染,如结核性脑膜炎 (TBM) 中, Paroxysmal Sympathetic Hyperactivity (PSH) 是罕见的. 这一案例凸显了儿童TBM患者早期PSH检测的严重结果和需要.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 松性交感性多动性 (PSH) 通常与创伤性脑损伤有关.
- 由于发病率低,中枢神经系统感染中PSH的发生很少被报告.
- 本案例报告侧重于肺结核脑膜炎 (TBM) 继发的PSH,以强调疾病负担.
研究的目的:
- 为了记录一个患有TBM的儿科患者罕见的PSH病例.
- 强调在中枢神经系统感染中PSH的诊断挑战和管理复杂性.
- 突出在TBM中与PSH相关的潜在严重程度和发病率.
主要方法:
- 一个案例报告,一名11岁的女性被诊断出患有TBM.
- 这名患者接受了心室关突变手术,随后出现了PSH症状.
- 记录了临床表现,PSH评估测量得分和治疗结果.
主要成果:
- 该患者在手术后出现了高度发烧,腹膜疏散,心动减速和高血压.
- 尽管进行了积极的治疗,但患者的病情仍在恶化.
- PSH-评估测量得分表明可能的PSH,患者最终屈服于疾病.
结论:
- 常见的PSH表现包括心动减速,心动减速, dystonia,高热,高血压和隔膜.
- 早期检测和诊断PSH的低门对于预防神经系统疾病的后果至关重要.
- 本报告详细介绍了没有水头症的第7例TBM中PSH的病例,以及TBM中PSH的第15例整体病例.
更多相关视频
10:04Analysis of 18FDG PET/CT Imaging as a Tool for Studying Mycobacterium tuberculosis Infection and Treatment in Non-human Primates
Published on: September 5, 2017
19.2K
03:47A Retrospective Study on Endoscopic Surgery for the Treatment of Paravertebral Abscess in Spinal Tuberculosis Patients
Published on: October 25, 2024
589
相关概念视频
01:28Pulmonary Tuberculosis II
1.3K
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
1.3K
01:31Pulmonary Tuberculosis III
901
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
901
01:29Pulmonary Tuberculosis I
811
Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
811
01:26Pulmonary Tuberculosis IV
469
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
469
01:28Pulmonary Tuberculosis V
530
Medical management of tuberculosis (TB) patients involves a comprehensive approach that includes diagnosis, treatment, and monitoring. The specific strategies can vary depending on the type of tuberculosis (latent or active), the patient's overall health status, and other considerations.
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
Latent tuberculosis infection occurs when TB bacteria are present in a person's body, but are not causing illness or symptoms. It is not contagious, and preventive treatment is crucial to avoid the...
530
01:16Sympathetic Activation
6.6K
The sympathetic division can influence tissues and organs by releasing norepinephrine at peripheral synapses and distributing epinephrine and norepinephrine through the bloodstream. In times of crisis or stress, sympathetic activation occurs, which is regulated by sympathetic centers in the hypothalamus. As a result, sympathetic activation prepares the body for physical exertion, rapid ATP production, and heightened alertness, allowing individuals to respond effectively to challenging or...
6.6K