摘要
目的 进一步了解脑干脑炎 (BBE)的临床特点。方法 对 2 1例脑干脑炎的发病年龄、性别、临床特点、MRI及激素疗效进行分析 ,并结合文献对病因进行探讨。结果 男性明显多于女性 ,以青壮年居多 ,多侵犯脑桥 ,第 、 对颅神经损害最多 ,锥体束受损较轻 ,MRI病灶与临床定位相符率低。结论 脑干脑炎的病因未明 ,可能与病毒感染后的自身免疫有关 ,激素治疗有效 ,预后良好。
Objective To evaluate the clinical characteristics of Bickerstaff's brain stem encephalitis(BBE).Methods 21 cases of BBE received analysis about their age,sex,clinical characteristics and MRI as well as their response to corticosterid.According to the present literature both home and abroad,the etiology of the disease was also studied.Results The disease occurred more frequently in male than in female and was constantly found in the young and the middleaged.Most lesions had involved in the pons and the VII & VI cranial nerves ,while the lesion was slight in the pyramidal tracts.Few MRI lesions were found related with the clinical signs.Conclusion The etiology of BBE,which is not yet known exactly,may be related with the autoimmune after the viral infection.Corticosteroid treatment is effective and the prognosis is favorable.
出处
《中国综合临床》
2000年第8期578-579,共2页
Clinical Medicine of China
