全部 标题 作者
关键词 摘要

OALib Journal期刊
ISSN: 2333-9721
费用:99美元

查看量下载量

相关文章

更多...
-  2016 

瘤样炎性脱髓鞘病1例临床误诊为胶质瘤特征分析 Analysis of the Characteristics of Tumor-like Inflammatory Demyelinating Diseases Misdiagnosed as Glioma:A Case Report

Keywords: 瘤样炎性脱髓鞘病,误诊,胶质瘤

Full-Text   Cite this paper   Add to My Lib

Abstract:

目的:探讨瘤样炎性脱髓鞘病(TIDD)的临床特点,提高临床识别能力,以减少误诊误治。方法:回顾性分析我院1例确诊为瘤样炎性脱髓鞘病患者临床资料并复习相关文献。结果:本例患者临床表现缺乏特异性,曾被拟诊为胶质瘤,后经组织病理学检查确诊为瘤样炎性脱髓鞘病,给予糖皮质激素冲击治疗后,病情好转出院。结论:瘤样炎性脱髓鞘病在颅内占位病变中临床表现不典型,易误诊,应注意与胶质瘤鉴别

References

[1]  Tan HM,Chan LL,Chuah KL,et al.Monophasic,solitary tumefactive demyelinating lesion:neuroimaging features and neuropathological diagnosis[J].Br J Radiol,2004,77(914):153-156.
[2]  Kaqeyama T,Gotoh Y,Sano F,et al.Diagnosis of pediatric multiplesclemsisinitially presenting with tumefactive demyelinating lesion using 1 H-magnetic resonance spectroscopy[J].Rinsho Shinkeiqaku,2011,51:688-693.
[3]  王婷婷,付宝生,贺丹,等.1 H-MRS在瘤样炎性脱髓鞘病与低级别胶质瘤鉴别诊断中的应用[J].脑与神经疾病杂志,2015,23(1):12-16.Wang TT,Fu BS,He D,et al.Application of 1 HMRS in differential diagnosis of tumor-like inflammatory demyelinating disease and low grade glioma[J].Journal of Brain and Nervous Diseases,2015,23(1):12-16.
[4]  张文洛,戚晓昆,刘建国,等.瘤样炎性脱髓鞘病MRI的临床意义[J].脑与神经疾病杂志,2010,18(4):253-256.Zhang WL,Qi XK,Liu JG,et al.Clinical significance of MRI for tumor-like inflammatory demyelinating diseases[J].Journal of Brain and Nervous Diseases,2010,18(4):253-256.
[5]  吕长虹,王顺和,孙晓川,等.瘤块样脱髓鞘病变脑组织活检临床病理及细胞凋亡特点[J].中华神经科杂志,2006,39(7):448-451.LüCH,Wang SH,Sun XC,et al.Clinicopathological features of and apoptosis in patients with tumefactive demyelinating lesion:a biopsy study[J].Chinese Journal of Neurology,2006,39(7):448-451.
[6]  周庚寅,高鹏,曹吉臣,等.疑似星形细胞瘤的脱髓鞘假瘤[J].临床与实验病理学杂志,2004,20(6):670-673.Zhou GY,Gao P,Cao JC,et al.Demyelinating pseudotumor looking like astrocytoma:2cases report and review of the literature[J].Chinese Journal of Clinical and Experimental Pathology,2004,20(6):670-673.
[7]  中华医学会神经病学分会,中华神经科杂志编辑部.中国多发性硬化及相关中枢神经系统脱髓鞘疾病的诊断和治疗专家共识(草案)[J].中华神经科杂志,2006,39:862-864.Chinese Society of Neurology,Chinese Journal of Neurology editorial department.Chinese expert consensus of diagnosis and treatment of multiple sclerosis and related central nervous system demyelinating disease(draft)[J].Chinese Journal of Neurology,2006,39(12):862-864.
[8]  贺丹,杨丽,陈德强,等.多序列磁共振成像在一例多发性硬化诊断中的应用体会[J].脑与神经疾病杂志,2011,19(1):35-38.He D,Yang L,Chen DQ,et al.The applied comprehend of multi-sequence magnetic resonance imaging in the diagnosis of one multiple sclerosis[J].Journal of Brain and Nervous Diseases,2011,19(1):35-38.
[9]  Miller DH,Chard DT,Ciccarelli O.Clinically isolated syndromes[J].Lancet Neurol,2012,11(2):157-169.
[10]  张文洛,戚晓昆,刘建国,等.瘤样炎性脱髓鞘病的影像学特点观察[J].中华神经外科杂志,2007,23(9):696-699.Zhang WL,Qi XK,Liu JG,et al.Imageology characteristics of tumor-like inflammatory demyelinating diseases[J].Chinese Journal of Neurosurgery,2007,23(9):696-699.
[11]  Erana-Rojas IE,Barboza-Quintana A,Ayala AG,et al.Demyelinating pseudotumor[J].Ann Diagn Pathol,2002,6(5):265-271.
[12]  Visser F,Wattjes MP,Pouwels PJ,et al.Tumefaetivemultirpie sclerosis lesions under finsolimod treatment[J].Neurology,2012,79:2 000-2 003.
[13]  郭秀海,吴卫平,朱克,等.假瘤型炎性脱髓鞘病的临床及病理[J].脑与神经疾病杂志,2002,10(4):193-196.Guo XH,Wu WP,Zhu K,et al.Clinical and pathological study of tumor-like inflammatory demyelinating diseases[J].Journal of Brain and Nervour Diseases,2002,10(4):193-196.
[14]  Kepes JJ.Large focal tumor-like demyelinating lesions of the brain:intermediate entity between multiple sclerosis and acute disseminated encephalomyelitis?A study of 31patients[J].Ann Neurol,1993,33:18-27.
[15]  王起,戚晓昆,刘建国,等.脱髓鞘假瘤35例的临床表现和影像及病理特点[J].中华神经科杂志,2007,40(7):456-459.Wang Q,Qi XK,Liu JG,et al.Clinical features,neuroimaging findings and pathological characteristics of 35patients with demyelinating pseudotumors of brain[J].Chinese Journal of Neurology,2007,40(7):456-459.
[16]  Kim DS,Na DG,KimKH,et al.Distinguishing tumefactive demyelinating lesions from glioma or central nervous system lymphoma:added value of unenhanced CT compared with conventional contrast-enhanced MR imaging[J].Radiology,2009,251:467-475.
[17]  Masdeu JC,Quinto C,Olivera C,et al.Open-ring imagingsign:highly specific for atypical brain demyelination[J].Neurology,2000,54(7):1 427-1 433.
[18]  Ahintas A,Petek B,Isik N,et al.Clinical and radiological characteristics of tumefactive demyelinating lesions:follow-up study[J].Muit Scler,2012,18:1 448-1 453.
[19]  Hardy TA,Chataway J.Tumefactive demyelination:an approach to diagnosis and management[J].J Neurol Neurosury Psychiatry,2013,84:1 047-1 053.

Full-Text

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133