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題 名 | Magnetic Resonance Image Findings in Four Patients with Japanese Encephalitis=四位日本腦炎病人在核磁共振影像之表現 |
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作 者 | 葉子洪; 陳欽明; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷 期 | 18:3 2007.09[民96.09] |
頁 次 | 頁110-114 |
分類號 | 415.235 |
關鍵詞 | 日本腦炎; 腦部核磁共振影像; Japanese encephalitis; Magnetic resonance image; |
語 文 | 英文(English) |
中文摘要 | 我們報導四位呈現發燒、頭痛、意識改變之日本腦炎病人。他們均入住加護病房,並且插管使用呼吸器。腦脊髓液顯示淋巴球居多,伴隨蛋白質濃度升高。我們經由血液日本腦炎抗體增高,以及腦部核磁共振影像出現特徵性之丘腦病變,診斷為日本腦炎。總結而言,若病人在夏季出現發燒、頭痛、意識改變,合併有腦部核磁共振影像出現丘腦病變,必須高度懷疑是日本腦炎。 |
英文摘要 | We present 4 Japanese encephalitis (JE) patients, who presented with fever, headache and alterationof consciousness. All of the patients were admitted to the Intensive Care Unit with ventilator support. Cerebrospinal fluid studies showed lymphocytes predominant with marked elevated protein concentration. Diagnoses were confirmed by significant a rise in serum JE antibody titers and characteristic thalamic lesions on magnetic resonance image (MRI). In conclusion, JE should be highly suspected in patients withfever, headache and alteration of consciousness, and thalamus involvement on images studies, during the summer. |
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