摘要
目的探讨肥厚性硬脑膜炎（HCP）的临床特点。方法回顾性分析新疆医科大学第一附属医院神经内科2003年10月~2009年8月收治的经综合治疗的5例HCP患者的临床资料。4例采用类固醇激素（地塞米松）治疗,3例联用青霉素或头孢类抗菌素治疗,2例联用尿激酶溶栓治疗,5例均采用神经营养剂治疗,共2周-1个月。结果 5例患者病情均明显好转,头痛消失或明显减轻,脑神经麻痹完全消失或明显改善。1例9个月后复查MRI,提示硬脑膜未见明显强化。结论根据临床表现和辅助检查结果可尽早明确HCP诊断。应及时予皮质类固醇激素、抗菌素治疗,防止出现不可逆的神经功能缺损。
Objective To analyze the clinical characteristics of hypertrophic cranial pachymeningitis（HCP）.Methods To review the clinical data of 5 HCP cases receiving comprehensive therapy in department of neurology of first affiliated hospital,Xinjiang Medical University between 2003 and 2009.Results All the 5 cases showed symptomatic improvements after the administration of effective treatment.Headache disappear or lessen,cranial nerve palsy completely disappear or obviously improve.Follow up half a year to a year,There was one case in which cerebral dura mater didn′t strengthened in rechecked MRI after 9 months.Conclusion According to clinical manifestation and auxiliary examination,HCP can be diagnosed as early as possible.Timely use of corticosteroid hormones and antibiotics can be essential to prevent the occurrence of irreversible nervous system impairment in these cases.
出处
《新疆医科大学学报》
CAS
2011年第2期184-187,共4页
Journal of Xinjiang Medical University
关键词
脑膜炎
磁共振成像
治疗
menmgitis
magnetic resonance imaging
combined therapeutics
