第252例 精神异常-抽搐-肠梗阻-盆腔占位病变
摘要
病历摘要
女性患者,20岁,因“发热、头痛、呕吐4d”于2010年5月14日入院。患者入院前4d起床后自觉头痛,伴恶心、呕吐,自觉四肢无力。第2天出现发热,体温最高达38.5℃,仍伴有头痛、呕吐,间有头晕,非天旋地转样。在当地检查予“退热药”等处理。患者仍有发热,间有胡言乱语,迫害妄想。2010年5月14日拟诊:中枢神经系统感染收入院。神经系统检查:发热,体温38℃,神志清,有精神异常,表现为发作性躁狂、乱语,自残,有迫害、夸大妄想。
出处
《中华医学杂志》
CAS
CSCD
北大核心
2011年第39期2801-2803,共3页
National Medical Journal of China
参考文献9
-
1Yang YW,Tsai CH,chug FC,et al.Reversible panmeoplasfic iimbic encephalitis caused by a benign ovsrian teratoma:report of a cm and review of literatures.J Neuroonco1,2006,80:309-312.
-
2Lizuka T,Sakai F,lde T,et al.Anti-NMDA receptor encephalitis in Japan:long-term outcome without tumor removal.Neurology,2008,70:504-511.
-
3Poloni C,Korff CM,Ricotti V,et al.Severe childhood encephalopathy with dyskinesia and prolonged cognitive disturbances:evidence for anti-N-methyl-D-aspartate receptor encephalitis.Dev Med Child Neurol,2010,52:e78-e82.
-
4周盛年,付秀鑫,刘艺鸣,曹丽丽,王波,李建军,李远,高艳景,宫晓平.畸胎瘤相关性副肿瘤边缘叶性脑炎一例[J].中华神经科杂志,2009,42(10):686-688. 被引量:10
-
5Gershenson DM.Management of ovarian germ cell tumors.J Clln Oilcol,2007,25:2938-2943.
-
6van Ahena AM,Wijnberg GJ,Kolwijck E,et al.A patient with bilateral immature ovarian temtoma presenting with paraneoplastie encephalitis.Gynecol Onco1,2008,108:445-448.
-
7Gultekin SH,Rasenfeld MR,Voltz R,et al.Paraneoplastic limbic encephalitis:neurological symptoms,immunological findings and tumour association in 50 patients.Brain,2000,123Pt 7:1481-1494.
-
8Sabin TD,Jednacz JA,Staats PN.Case mcords of the Massacbusetts General Hospital.Case 26.2008.A 26-year-old woman with headache and behavioral changes.N Engl J Med,2008,359:842-853.
-
9Henry C,Husson H,de Bmucker T.Autoimmune limbic encephalltis with anti-NMDA receptor antibodies and ovarian teratoma:a treatable form of paraneoplastic limbic encephalitis.J Rev Neurol(Paris),2009,165:70-75.
二级参考文献7
-
1Yang YW, Tsai CH, Chang FC, et al. Reversible paraneoplastic limbic encephalitis caused by a benign ovarian teratoma: report of a case and review of literatures. J Neurooncol, 2006, 80: 309- 312.
-
2Iizuka T, Sakai F, Ide T, et al. Anti-NMDA receptor encephalitis in Japan: long-term outcome without tumor removal. Neurology, 2008, 70 : 504-511.
-
3Gershenson DM. Management of ovarian germ cell tumors. J Clin Oncol, 2007, 25:2938-2943.
-
4van Altena AM, Wijnberg GJ, Kolwijck E, et al. A patient with bilateral immature ovarian teratoma presenting with paraneoplastie encephalitis. Gynecol Oncol, 2008, 108:445-448.
-
5Guhekin SH, Roserffeld MR, Voltz R, et al. Paraneoplastic limbic encephalitis : neurological symptoms, immunological findings and tumour association in 50 patients. Brain, 2000, 123 Pt 7 : 1481-1494.
-
6Sabin TD, Jednacz JA, Staats PN. Case records of the Massachusetts General Hospital. Case 26-2008. A 26-year-old woman with headache and behavioral changes. N Engl J Med, 2008, 359: 842-853.
-
7Henry C, Husson H, de Bmucker T. Autoimmune liinbic encephalitis with anti-NMDA receptor antibodies and ovarian teratoma: a treatable form of paraneoplastic limbic encephalitis. J Rev Neurol(Paris), 2009, 165: 70-75.
共引文献9
-
1刘美云,谢琰臣,李继梅.抗NMDA受体脑炎[J].中国神经免疫学和神经病学杂志,2010,17(6):449-451. 被引量:35
-
2许春伶,赵伟秦,李继梅,王佳伟,王淑辉,王得新,刘美云,乔衫衫,靳家玉,郝增平,冀晓俊.抗N-甲基-D-天冬氨酸受体脑炎一例[J].中华神经科杂志,2010,43(11):781-783. 被引量:111
-
3商敏,郝增平,靳家玉.卵巢未成熟畸胎瘤致抗NMDA受体抗体副肿瘤性边缘系统脑炎一例[J].中国妇产科临床杂志,2011,12(5):388-389. 被引量:7
-
4王得新.关于边缘性脑炎[J].中国现代神经疾病杂志,2011,11(5):489-490. 被引量:10
-
5陈晨,冯加纯.抗N-甲基-D-天门冬氨酸受体脑炎的研究进展[J].中风与神经疾病杂志,2012,29(1):84-87. 被引量:12
-
6吴春华,文薇.抗N-甲基-D-天冬氨酸受体脑炎[J].云南医药,2012,33(6):579-582. 被引量:3
-
7彭飞,孙同文,张晓娟,吴琼,马尚超,路喃喃,杨飞,徐青艳,王海旭,王岩,张曙光,关方霞,许予明,阚全程.抗N-甲基-D-天冬氨酸受体脑炎的诊断和治疗[J].中华急诊医学杂志,2013,22(12):1432-1434. 被引量:1
-
8程辉,刘向红,罗亮,江海玮,徐敏娟.卵巢畸胎瘤相关性抗NMDAR脑炎一例报告并文献复习[J].中华妇产科杂志,2014,49(7):541-542. 被引量:2
-
9胡银,周红杰,许志强,张园.右下肢无力伴短暂抽搐自身免疫性脑炎1例报道[J].中国临床神经科学,2016,24(3):348-350. 被引量:4
-
1于彦臣.利多卡因治疗抗精神病药所致头痛21例疗效观察[J].中原精神医学学刊,1998,4(3):166-167.
-
2王霞,刘闻捷,陈茂君.静滴奥拉西坦致过敏反应一例[J].海南医学,2017,28(2):333-333. 被引量:3
-
3张祖凤,雷招宝,杨飏.西咪替丁致急性肾功能衰竭1例[J].药物流行病学杂志,2009,18(5):384-385. 被引量:1
-
4孙向菊,吴玉波,蒋爱华.唑吡坦致尿失禁[J].药物不良反应杂志,2010,12(6):409-409. 被引量:2
-
5谢小菊,孙静.加替沙星治疗期间发生精神障碍[J].药物不良反应杂志,2008,10(5):372-372. 被引量:1
-
6张月霞,蓝宇.奥沙利铂致过敏反应1例[J].中国临床药理学杂志,2010,26(8):567-567. 被引量:1
-
7宛荣刚.利培酮与氯丙咪嗪合用引发恶性综合征1例[J].实用医药杂志,2003,20(1):20-20.
-
8王璐璐,沈雁蓉.注射用头孢美唑钠致声音嘶哑1例[J].中国药业,2009,18(16):48-48. 被引量:3
-
9造影剂[J].中西医结合研究,2006(3):99-100.
-
10韩磊,王晓燕.鞘内注射头孢曲松致抽搐2例[J].实用医药杂志,2012,29(4):335-335. 被引量:1