白血病的广泛神经系统损害1例(附文献复习)  

A Case Report of Extensive Nervous System Damage Caused by Leukemia(Literature Review)

作　　者：张进[1] 薛波[1] 施弘[1] 陶英[2] 

机构地区：[1]上海交通大学附属第六人民医院神经内科,200233 [2]上海交通大学附属第六人民医院血液实验室,200233

出　　处：《中国临床神经科学》2009年第3期293-297,共5页Chinese Journal of Clinical Neurosciences

摘　　要：目的:探讨白血病在神经系统损害的临床特点。方法:报道1例以神经系统多灶损害为首发症状的白血病,结合病史、CT、MRI、脑脊液及骨髓穿刺检查进行文献复习。结果:白血病可浸润神经系统的任何部位,神经症像可作为白血病的首发症状,缺乏特异性,容易误诊。结论:神经损害是白血病的一种表现形式,对任何年龄的患者,都应高度警惕是否伴有肿瘤。脑脊液细胞学检查有助于早期诊断。Aim： To study the clinical features of leukemia on nervous system damage. Methods： The reported case of leukemia with multiple damage on nervous system as initial syndrome is diagnosed by literature review combined with the patients medical history, CT, MRI, CSF and bone marrow puncture. Results： Leukemia can penetrate any part of nervous system and since its initial syndrome can be neurological, deficiency of distinction and misdiagnosis are prone to happen. Conclusion： Nervous damage could be a clinical expression of leukemia, so high alert should be put on cases of all ages to diagnose whether with tumor. Cerebrospinal fluid cytology is of help in early diagnosis.

关 键 词：神经系统 中枢神经系统 白血病 细胞学检查 

分 类 号：R733.7[医药卫生—肿瘤] R739.4[医药卫生—临床医学]