临床孤立综合征34例误诊分析  

Clinical misdiagnostic analysis of 34 patients with clinically isolated syndromes

作　　者：罗家明[1] 余巨明[1] 谭书伟 谭强[1] 柯莎[1] 王晓明[1] 

机构地区：[1]川北医学院附属医院神经内科,神经疾病研究所,四川南充637000

出　　处：《西部医学》2013年第11期1690-1691,共2页Medical Journal of West China

基　　金：四川省卫生厅科研课题(110305)

摘　　要：目的探讨造成临床孤立综合征(clinically isolated syndromes,CIS)误诊的因素。方法结合临床症状、体征、电生理和影像学等辅助检查方法,回顾性分析误诊的34例临床孤立综合征患者的临床资料。结果 34例误诊病例中12例误诊为视神经炎,10例误诊为青年卒中,6例误诊为急性脊髓炎,2例误诊为病毒性脑炎,2例误诊为颈椎病神经根型,误诊为癔症和继发性癫痫各1例。结论造成误诊的主要因素有对CIS疾病本身认识不足、临床分析思路不全、辅助检查不完善和病例随访不到位等。Objective To explore the possibilities of misdiagnostic causes of clinically isolated syndromes.Methods Combination of clinical manifestations and accessory examinations,the clinical data were retrospectively analyzed in 34 patients with clinically isolated syndromes.Results 12 cases were misdiagnosed as optic neuritis,10 as young stroke,6 as acute myelitis,2 as cervical spondylotic radiculopathy,1 as viral encephalitis and 1 as symptomatic epilepsy.Conclusion Lack of knowledge on clinically isolated syndromes,lack of accessory examinations and follow-up observation are the main causes of misdiagnosis.

关 键 词：临床孤立综合征 多发性硬化 误诊 

分 类 号：R744.5[医药卫生—神经病学与精神病学]