脑桥中央髓鞘溶解症六例临床分析  

Central pontine myelinolysis:analysis of six cases

作　　者：邝志华[1] 李海鹏[1] 

机构地区：[1]湖南省郴州市第一人民医院神经内科,423000

出　　处：《中国现代神经疾病杂志》2015年第8期672-674,共3页Chinese Journal of Contemporary Neurology and Neurosurgery

摘　　要：回顾分析6例脑桥中央髓鞘溶解症患者的临床资料,6例患者中男性4例,女性2例;年龄24~55岁,平均36岁;均存在严重躯体疾病,临床表现以意识障碍、假性延髓麻痹、肢体迟缓性瘫痪为主;头部MRI均显示脑桥中央对称性病灶;5例予糖皮质激素冲击治疗,症状有所好转。This paper analyzed clinical data of 6 patients with central pontine myelinolysis（CPM）.Among them 4 cases were male, 2 cases were female, with age 24 to 55 years old and average age 36 yearsold. Serious somatic diseases occured in all 6 cases. The main clinical manifestations includeddisturbance of consciousness, pseudobulbar paralysis and flaccid paralysis. Cranial MRI showed all of thepatients appeared symmetrical lesions in central pontine. After intravenous drip of glucocorticoids, 5 patientswere improved.

关 键 词：髓鞘溶解 中心性脑桥 糖皮质激素类 药物疗法 

分 类 号：R744.5[医药卫生—神经病学与精神病学]