带状疱疹性脊髓炎九例分析  

Clinical Research of Herpes Zoster Myelitis(9 Cases Analysis)

作　　者：拱忠影[1] 

机构地区：[1]天津市第一中心医院神经内科,300192

出　　处：《实用心脑肺血管病杂志》2011年第6期1007-1008,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨带状疱疹性脊髓炎的临床特点及治疗方法。方法对9例确诊带状疱疹性脊髓炎患者的临床资料进行回顾分析。结果 8例患者有典型皮疹;8例患者脊髓病变部位均与皮疹分布区相一致;4例患者合并基础疾病;1例患者脑脊液中检测出VZA-IgG;MRI异常者7(7/8)例;7例患者抗病毒治疗后症状好转,2例患者半年内死亡。结论带状疱疹性脊髓炎主要依据皮疹与脊髓炎症之间短暂的时间关系,腰椎穿刺脑脊液检查及脊髓MR I检查有助于除外其他原因导致的脊髓疾患,抗病毒治疗可能有效果,激素疗效尚不明确。Objective To analyze the clinical features of herpes zoster myelitis,and to explore possible treatment measures for herpes zoster myelitis patients.Methods Clinical data of 9 definite herpes zoster myelitis were analyzed retrospectively.Results 8 cases of herpes zoster myelitis had characteristic rash.The spinal lesion was consist with the dermatonal distribution of the skin in 8 cases.The basical disease were found in 4 cases.VZA-IgG was detected in 1 case without rash.The MRI was abnormal in 7 cases.7 cases recovered after antiviral therapeuty,2 cases died in half a year.Conclusion The diagnosis of herpes zoster myelitis is based on the onset of myelopathy within days or weeks after rash,lumber cerebral spinal fluid and spinal MRI may exclude other causes.Antiviral therapeuty may be effective,The role of corticosteroids is unknow now.

关 键 词：带状疱疹 脊髓炎 临床特征 

分 类 号：R752[医药卫生—皮肤病学与性病学]