欢迎来到天天文库
浏览记录
ID:15193484
大小:33.50 KB
页数:8页
时间:2018-08-01
《多发性硬化症36例临床分析》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、多发性硬化症36例临床分析作者:雷建明,黎朝茂,江先娣,廖耿【摘要】目的:探讨多发性硬化(MS)的临床特点。方法:从临床、神经生理学、影像学等对MS病例进行回顾性分析。结果:36例MS中,男10例,女26例,发病年龄6~67岁,多见于青壮年女性,91.7%病例是急性或亚急性发病,复发~缓解型占51%,病变部位中大脑半球19例(52.8%),小脑5例(13.9%),脑干5例(13.9%)脊髓21例(58.3%),视神经12例(33.3%),其中视神经脊髓炎占27.1%。结论:MS起病急,病程短,脊髓、视神经、大脑易受侵犯,小脑、脑干相对少受累,
2、临床症状多样化,以视力障碍、肢体无力较为突出,致残率较高,MRI对除视神经外的MS病灶有高度敏感性,并可显示无临床症状的亚临床病灶。急性、亚急性期应用糖皮质激素疗效显著。【关键词】多发性硬化;临床分析;磁共振成像 ClinicalAnalysison36CasesMultipleSclerosis Abstract:Objective:Toanalysetheclinicalcharacteristicsofmultiplesclerosis(MS).Method:Thecharacteristicsof36MScaseswereret
3、rospectivelystudiedonclinic,neurophysiologyandimaging.Result:Among36MS8多发性硬化症36例临床分析作者:雷建明,黎朝茂,江先娣,廖耿【摘要】目的:探讨多发性硬化(MS)的临床特点。方法:从临床、神经生理学、影像学等对MS病例进行回顾性分析。结果:36例MS中,男10例,女26例,发病年龄6~67岁,多见于青壮年女性,91.7%病例是急性或亚急性发病,复发~缓解型占51%,病变部位中大脑半球19例(52.8%),小脑5例(13.9%),脑干5例(13.9%)脊髓21例(58.
4、3%),视神经12例(33.3%),其中视神经脊髓炎占27.1%。结论:MS起病急,病程短,脊髓、视神经、大脑易受侵犯,小脑、脑干相对少受累,临床症状多样化,以视力障碍、肢体无力较为突出,致残率较高,MRI对除视神经外的MS病灶有高度敏感性,并可显示无临床症状的亚临床病灶。急性、亚急性期应用糖皮质激素疗效显著。【关键词】多发性硬化;临床分析;磁共振成像 ClinicalAnalysison36CasesMultipleSclerosis Abstract:Objective:Toanalysetheclinicalcharacteris
5、ticsofmultiplesclerosis(MS).Method:Thecharacteristicsof36MScaseswereretrospectivelystudiedonclinic,neurophysiologyandimaging.Result:Among36MS8cases,10inmaleand26infemale.Thefirstonsetagewasfrom6to67yearsold.MSmainlyconsistedofyoungandmiddle-agedwomen.91.7%hadacuteandsubacut
6、eonsetand51%hadrelapses.Nineteencaseshadlesionsincerebralhemisphere,5casesincerebellum,5casesinbrainstem,21casesinspinalcord,and12casesinopticnerve.Thediagnosisof27.1%patientswasDevicdisease.Conclusion:TheonsetofMSisurgent,andthecourseisshort.Spinalcord,opticnerveandcerebru
7、mareeasytobeinvaded,butcerebellumandbrainstemarerelativelyseldomtobeinvolved.Clinicalsymptomsarevarious,buteyesightdamageandweaknessareprominent,whichcausethehighdisabilityrate.MRIishighlysensitivetolesionsexceptopticnerve,anditcanshowsubclinicallesions.Treatmentofacuteands
8、ubacuteMSwithcorticosteroidsiseffective. Keywords:Multiplesclerosis;Clinicalanaly
此文档下载收益归作者所有