由引起的后传染性基底腺脑炎:一个病例系列
Mahesh Kamate1, Gayatri Pawar1, Virupaxi Hattiholi2
1Department of Pediatric Neurology, KAHER Deemed to be University's Jawaharlal Nehru Medical College, Belagavi, India.
Journal of child neurology
|March 10, 2026
概括
可能导致罕见但严重的基底腺脑炎,导致运动障碍和行为变化. 接种疫苗是预防这种严重的神经复杂症的关键.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 病毒学 病毒学
背景情况:
- 是一个神经型病毒,导致各种神经复杂症.
- 后/准传染性基底脑炎是一种罕见但严重的麻风并发症,患病率高.
研究的目的:
- 为了呈现基底质脑炎的病例,这是疹感染的次要原因.
- 突出诊断标准和临床特征.
- 为了强调疫疫苗接种的重要性.
主要方法:
- 五名患者的病例系列介绍.
- 临床评估,包括炎或发烧性疾病的病史.
- 血清学证据表明疹感染.
- 神经成像检查,以确定基底腺异常.
- 评估对免疫调节疗法的反应.
主要成果:
- 诊断的建议是最近的病史,急性运动障碍,行为变化,和基底腺节成像发现.
- 在康复和免疫调节疗法改善期间的外皮拉米德症状支持诊断.
- 后的基底腺脑炎显示出较高的发病率,较慢的恢复,以及较长的住院时间,与其他症并发症相比.
结论:
- 后的基底腺脑炎是一种严重并发症,具有显著的发病率.
- 早期识别和潜在的免疫调节疗法是很重要的.
- 常规的疹疫苗接种对于预防疹及其神经系统的后果至关重要,包括基底腺脑炎.
相关概念视频
Viral Meningitis
199
Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
199
Arboviral Encephalitis
59
Arboviral encephalitis refers to brain inflammation caused by arthropod-borne viruses, particularly those transmitted through mosquito vectors. Among these, West Nile virus (WNV), a member of the Flaviviridae family, is a significant public health concern. WNV is an enveloped, positive-sense, single-stranded RNA virus. Human infection typically begins when an infected mosquito introduces the virus into the dermis during feeding. The primary transmission cycle involves birds as amplifying hosts...
59
Bacterial Meningitis I: Introduction
15
Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...
15
Encephalitis l: Introduction
15
Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
15
Encephalitis ll: Pathophysiology
22
Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...
22
Brain Abscess l: Introduction
21
A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial...
21


