累及基底节病变的森林性脑炎1例报道  

Report of One Case of Forest Encephalitis Involving Basal Ganglia Lesions

作　　者：唐晶[1] 姜立刚 TANG Jing;JIANG Ligang(The Second Treatment Area of the Department of Neurology,Affiliated Hospital of Jilin Medical University,Jilin City,Jilin Province 132013,China)

机构地区：[1]吉林医药学院附属医院神经内二科,吉林吉林132013

出　　处：《吉林医药学院学报》2024年第6期433-435,439,共4页Journal of Jilin Medical University

基　　金：吉林省中医药管理局中风与神经退行性疾病中西医症治重点研究室项目(2022-Z-70)。

摘　　要：目的探讨累及基底节病变的森林性脑炎的临床特点、诊断方法、治疗策略以及预后情况。方法分析1例累及基底节病变的森林性脑炎患者,并整理其临床资料,同时对临床特点、辅助检查(影像学检查、脑脊液检查、免疫学检查)及治疗方法进行梳理。结果本病例临床表现为肢体瘫痪,极易误诊为脑血管病。依据患者前驱“蜱虫”咬伤史,结合免疫学检查、脑脊液检查诊断森林性脑炎,影像学检查累及基底节区,临床上少见。结论对于具有森林接触史的脑炎患者,应警惕森林性脑炎的可能性,并关注其可能累及基底节等脑部区域,以便早期诊断、治疗和预后评估。Objective To investigate the clinical features,diagnostic methods,treatment strategies and prognosis of forest encephalitis involving basal ganglia lesions.Methods A patient with forest encephalitis with basal ganglia lesions was analyzed,and the clinical data were collated,and the clinical characteristics,auxiliary examinations(imaging examination,cerebrospinal fluid examination,immunological examination)and treatment methods were sorted out.Results The clinical manifestation of this case was limb paralysis,which was easily misdiagnosed as cerebrovascular disease.Forest encephalitis was diagnosed according to the patient's history of prodromal“tick”bites,combined with immunological examination and cerebrospinal fluid examination,and imaging examination involving the basal ganglia area,which is rare in clinical practice.Conclusion Patients with encephalitis with a history of forest exposure should be alert to the possibility of forest encephalitis,and pay attention to the possibility of it affecting the basal ganglia and other brain regions,so as to facilitate early diagnosis,treatment and prognostic assessment.

关 键 词：森林性脑炎 累及基底节区 脑脊液异常 

分 类 号：R512.99[医药卫生—内科学]