摘要
目的:探索桥脑中央髓鞘溶解症(central pontine myelinolysis,CPM)的临床特点,提高诊断率。方法:对2例CPM患者临床资料进行分析并复习文献。结果:CPM患者常表现为四肢瘫痪、假性球麻痹、精神症状及癫痫发作,易引起误诊误治。结论:尽管CPM少见,但其有典型临床表现及核磁共振特征,结合临床综合分析,诊断并不困难。
Objective:To investigate the clinical features of central pontine myelinolysis (CPM),and improve the accurance of diagnosis. Methods :The clinical manifestation of 2 cases of CPM was analyzed and the related literature was reviewed. Results:The patients with CPM often presented with tetraplegia, pseudobulber paralysis, psychiatric symp tom and epilepsy, it could be misdiagnosed and mistreatment. Conclusion:Although CPM is rare, there are some typical clinical manifestations and some manifestations on MRI, associating with clinic data, we can make the diagnosis of CPM.
出处
《中国误诊学杂志》
CAS
2007年第16期3700-3701,共2页
Chinese Journal of Misdiagnostics
关键词
髓鞘溶解
中心性脑桥/诊断
误诊
Myelinolysis,central pontine/diagnosis
Diagnostic errors