儿童Mollaret脑膜炎3例报告并文献复习  

Mollaret meningitis in children:report of three cases and literature review

作　　者：鲍为群[1] 蔡嘉琳[1] 吴洁[1] 鲍克容[1] 

机构地区：[1]上海交通大学医学院附属新华医院儿内科,上海200092

出　　处：《临床儿科杂志》2008年第8期697-699,共3页Journal of Clinical Pediatrics

摘　　要：目的探讨Mollaret脑膜炎(MM)的病因、发病机制、临床特征、诊断及治疗。方法回顾性分析确诊的3例MM患儿的临床特点,并结合文献进行总结。结果3例患儿均有发热、呕吐、头痛或惊厥、脑膜刺激征及反复多次发作的特征,抗菌、抗病毒及对症治疗后1周内能够迅速缓解。结论Mollaret脑膜炎是临床上少见疾病,儿童病例更少,具有自限性,预后良好,提高对Mollret脑膜炎的早期识别率,可避免不必要的检查和治疗,同时应寻找与其可能相关的病因。Objectives To investigate the etiopathogenesis, pathogenesis, clinical features, diagnosis and treat- ment of Mollaret meningitis （MM）. Methods The clinical features of three cases of MM were retrospectively analyzed and the related literatures reviewed. Results The three cases of childhood MM presented with recurrent fever, vomiting, headache, or convulsion, which could be relieved quickly by antibiosis, antivirus and symptomatic treatment for about one week. Conclusions Mollaret meningitis is a rare disease, especially in children. The course of the disease is time- limit and its prognosis is good. Recognizing MM in earlier stage could avoid unnecessary examination and therapy, while the etiopathogenisis should be searched continuously.

关 键 词：MOLLARET脑膜炎 儿童 脑膜刺激征 

分 类 号：R725.1[医药卫生—儿科]