复发型伴胼胝体压部可逆性病变的轻度脑炎/脑病Ⅱ型一例  

Recurrent typeⅡmild encephalitis/encephalopathy with reversible splenial lesion:a case report

作　　者：段崇锋[1] 李楠[2] 牛蕾[1] 赵继平[1] 刘芳[1] 张帅[1] 任延德[1] 刘学军[1] Duan Chongfeng;Li Nan;Niu Lei;Zhao Jiping;Liu Fang;Zhang Shuai;Ren Yande;Liu Xuejun(Department of Radiology,the Affiliated Hospital of Qingdao University,Qingdao,Shandong 266003,China;Department of Information Management,the Affiliated Hospital of Qingdao University,Qingdao,Shandong 266003,China)

机构地区：[1]青岛大学附属医院放射科,266003 [2]青岛大学附属医院信息管理部,266003

出　　处：《中华神经科杂志》2020年第4期305-308,共4页Chinese Journal of Neurology

摘　　要：伴胼胝体压部可逆性病变的轻度脑炎/脑病临床、影像表现特异。根据病变累及范围分为Ⅰ型和Ⅱ型,临床以Ⅰ型多见,Ⅱ型少见。文中报道1例罕见的复发型伴胼胝体压部可逆性病变的轻度脑炎/脑病Ⅱ型患者。该例患者首次发病表现为典型的Ⅱ型伴胼胝体压部可逆性病变的轻度脑炎/脑病,累及胼胝体及深部脑白质,短期复查病变消失;2年后病变复发,病变累及范围与第一次相似,短期复查病变消失。结合相关文献对其临床及影像学表现进行分析,以加深对该病的认识,提高诊治水平。Mild encephalitis/encephalopathy with reversible splenial lesion has special clinical-imaging features.According to the extent of lesion involvement,it can be divided into typeⅠand typeⅡ.Clinically,typeⅠis more common,and typeⅡis rare.A rare case of recurrent typeⅡmild encephalitis/encephalopathy with reversible splenial lesion is reported.The patient presented with typical typeⅡmild encephalitis/encephalopathy with reversible splenial lesion for the first time,involving the corpus callosum and the deep white matter,and the lesions disappeared after a short-term reexamination.Two years later,the lesions recurred,and the scope of the lesions was similar to that of the first time,and the lesions disappeared after a short-term reexamination.The clinical and imaging findings are analyzed in combination with relevant literatures review in order to deepen the understanding of the disease and improve the level of diagnosis and treatment.

关 键 词：脑炎 脑疾病 胼胝体 复发 

分 类 号：R742[医药卫生—神经病学与精神病学]