嗜酸性粒细胞增多症并发多发性脑梗死一例并文献复习  

Eosinophilia w ith acute m ultiple cerebral infarction:a case report and literature review

作　　者：张忠胜[1,2] 黄晓敏 Zhang Zhongsheng;Huang Xiaomin(Department of Neurology,The 6th Affifiliated Hospital of Guangzhou Medical University,Qingyuan People′s Hospital,Qingyuan 511518,China)

机构地区：[1]广州医科大学附属第六医院,511518 [2]清远市人民医院神经内科,511518

出　　处：《中国脑血管病杂志》2020年第7期415-418,共4页Chinese Journal of Cerebrovascular Diseases

摘　　要：作者回顾性分析了1例合并急性多发性脑梗死的嗜酸粒细胞增多症患者的临床资料。患者青年男性,因颈痛、四肢乏力入诊广州医科大学附属第六医院,患者既往有食物过敏史1年。患者入院时存在嗜酸性粒细胞增多,头部MRI示急性多发性脑梗死。给予糖皮质激素治疗后,症状迅速好转。嗜酸粒细胞增多症是脑梗死的少见病因。当急性多发性脑梗死患者出现嗜酸性粒细胞增多,在排除了其他导致脑梗死的病因后,需警惕嗜酸粒细胞增多症导致脑梗死可能。嗜酸粒细胞增多症合并脑梗死的患者建议糖皮质激素治疗。The clinical characteristics of a patient with eosinophilia and acute multiple cerebral infarctions were retrospectively analyzed in this report.The patient,a young man,suffering from neck pain and limb weakness,was admitted to the 6 th Affiliated Hospital of Guangzhou Medical University.He had a history of food allergies for one year.The patient had eosinophilia when he was admitted to the hospital.Brain magnetic resonance(MR)showed acute multiple cerebral infarctions,and there was no obvious abnormality in brain MR angioplasty.After treatment with glucocorticoids and antiplatelet therapy,the patient’s symptoms improved rapidly.Eosinophilia is a rare cause of cerebral infarction.We should alert the possibility of cerebral infarction caused by eosinophilia when patients coexist acute multiple cerebral infarctions with eosinophilia after excluding other causes of cerebral infarction.The treatment of corticosteroid therapy is recommended in patients with eosinophilia and acute cerebral infarction.

关 键 词：嗜酸粒细胞增多症 脑梗死 皮质激素 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R557.3[医药卫生—临床医学]