脑动静脉畸形栓塞术后迟发性脑炎1例并文献复习  

Delayed encephalitis after embolization of brain arteriovenous malformations:A case report and literature review

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作  者:董思语 孙美 田宇飞 程虹[1] 何川 Dong Siyu;Sun Mei;Tian Yufei;Cheng Hong;He Chuan(Department of Neurology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;Department of Neurosurgery,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China;Department of Rehabilitation Medicine,The Affiliated Jiangsu Shengze Hospital of Nanjing Medical University,Suzhou 215228,China)

机构地区:[1]南京医科大学第一附属医院神经内科,江苏南京210029 [2]南京医科大学第一附属医院神经外科,江苏南京210029 [3]南京医科大学附属江苏盛泽医院康复医学科,江苏苏州215228

出  处:《临床荟萃》2023年第2期170-174,共5页Clinical Focus

摘  要:目的探讨栓塞材料相关性脑炎这一罕见不良反应的诊断和治疗。方法回顾性分析脑动静脉畸形(brain arteriovenous malformations,BAVM)栓塞术后出现迟发性脑炎患者1例,并复习相关文献。结果患者男性,52岁,BAVM栓塞术后1个月内先后出现全身皮疹及左侧肢体无力,抗病毒治疗无效,排除其他疾病后考虑患者为栓塞材料相关的迟发性脑炎,经激素治疗后患者痊愈。结论血管内栓塞治疗可诱发严重的中枢神经系统迟发性炎症反应,有必要对患者延长术后随访期限。Objective To investigate the diagnosis and treatment of the rare embolic material-associated encephalitis.Methods Clinical data of a patient with delayed encephalitis after embolization of brain arteriovenous malformations(BAVM)were analyzed retrospectively,and the relevant literature was reviewed.Results The 52-year-old male patient with BAVM developed systemic rash and left-sided weakness within 1 mouth after embolization.The symptoms were gradually worsen after antiviral infection.After excluding other diseases,the patient was considered as delayed encephalitis associated with embolic materials,who was cured by a hormone therapy.Conclusion Endovascular embolization can induce severe delayed inflammatory response in the central nervous system.It is necessary to prolong the postoperative follow-up period of patients.

关 键 词:颅内动静脉畸形 脑炎 栓塞治疗 

分 类 号:R743.4[医药卫生—神经病学与精神病学]

 

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