查詢結果分析
相關文獻
- Acute Flaccid Paralysis Due to Myelopathy in Childhood Bacterial Meningitis
- Microsurgical Management of Intracranial Epidermoid Cysts
- 新生兒細菌性腦膜炎
- 細菌性腦膜炎
- 冰水試驗於評估慢性脊髓病變患者之逼尿肌收縮障礙時之不可靠性
- Delayed Myelopathy after Electrical Burn: Report of Two Cases
- 急性細菌性腦膜炎:病理生理機轉及治療方向
- Magnetic Resonance Imaging Findings in Radiation Myelopathy of the Thoracic Spinal Cord: A Report of Two Cases
- 脊髓病變的診斷及處置
- Recurrence of Pneumococcal Meningitis Due to Primary Spontaneous Cerebrospinal Fluid Fistulas
頁籤選單縮合
題 名 | Acute Flaccid Paralysis Due to Myelopathy in Childhood Bacterial Meningitis=兒童細菌性腦膜炎中表現急性肢體無力之脊髓病變 |
---|---|
作 者 | 杜伊芳; 張瑛昭; 陳震宇; 黃朝慶; | 書刊名 | 臺灣兒科醫學會雜誌 |
卷 期 | 45:3 民93.05-06 |
頁 次 | 頁158-162+191 |
分類號 | 417.5157 |
關鍵詞 | 細菌性腦膜炎; 急性肢體無力; 脊髓病變; Bacterial meningitis; Acute flaccid paralysis; Myelopathy; |
語 文 | 英文(English) |
中文摘要 | 細菌性腦膜炎合併有脊髓侵犯的併發症是不尋常發生的,且鮮少被提及。臨床上細菌性腦膜炎,常有意識不清及抽痙的情形,使得脊髓侵犯的表現,如急性膨體無力的症狀被忽略,而沒有早期發現。我們從1988年至2001年期間,在186位患有細菌性腦膜炎的孩童中,發現有3位病人,表現出急性肢體無力的症狀,懷疑有脊髓侵犯的併發症。他們的發病年齡及致病菌類分別是兩天大的B型鏈球菌感染、三個月的肺炎雙球菌感染、及13歲大的腦膜炎雙球菌感染。其中有2位嬰幼兒在脊髓核磁共振的影像上,分別有壞死性脊髓炎及脊髓空洞症的表現。另一位13歲大的病人則無核磁共振影像上的異常。3位病人在恢複期的追蹤中,都有明顯社經學上的後遺症。比研究藉由此3位病例的經驗報告,來增進小兒科醫師對於細菌性腦膜炎的脊髓併發症有進一步的認識。 |
英文摘要 | Spinal cord damage is a rare neurological complication of bacterial meningitis. From 1988 to 2001, three of 186 pediatric patients with acute bacterial meningitis presented with acute flaccid paralysis due to myelopathy. The disease-onset ages and causative pathogens of the three patients were 2 days (group B streptococcus), 3 months (Streptococcus pneumoniae), and 13 years (Neisseria meningitidis), respectively. Spinal MR imaging was normal in the 13-year-old patient, who was left with mild residual motor weakness. Severe necrotizing myelitis and syringomyelia over the thoracic spinal cord were found in the other two younger patients. Both had severe paralysis at follow-up. All three patients required mechanical ventilation or vasopressor agents during antibiotic treatment for bacterial meningitis. |
本系統中英文摘要資訊取自各篇刊載內容。