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題 名 | Normal Pressure Hydrocephalus in a Patient with Systemic Lupus Erythematosus: A Case Report=全身性紅斑狼瘡患者合併常壓性水腦症: 一病例報告 |
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作 者 | 游恆懿; 王世叡; | 書刊名 | 中華醫學雜誌 |
卷 期 | 61:9 1998.09[民87.09] |
頁 次 | 頁551-555 |
分類號 | 415.695 |
關鍵詞 | 癡呆; 步伐不穩; 尿失禁; 常壓性水腦症; 全身性紅斑狼瘡; Dementia; Gait disturbance; Incontinence; Normal pressure hydrocephalus; Systemic lupus erythematosus; |
語 文 | 英文(English) |
中文摘要 | 全身性紅斑狼瘡容易合併許多不同的精神神經症狀,其中包括罕見的常壓性水腦 症病變。本文報導臺灣首例個案,患者是1位43歲女性,患有全身性紅斑狼瘡l8年,最近 出現了一些精神神經學上的變化,包括癡呆、步伐不穩、尿失禁及神志不清。腦脊髓水壓正 常,而電腦斷層檢查顯示腦室與腦溝擴大,診斷出常壓性水腦症。經由腦室腹腔分流手術治 療後,情況獲得極大的改善,神志變得清醒,但顯得言語遲鈍,思考緩慢及計算能力差,尿 失禁仍然繼續。本文藉此臨床經驗及文獻回顧,進一步探討常壓性水腦症之成因、診斷及治 療方法。 |
英文摘要 | Neuropsychiatric symptoms in systemic lupus erythematosus (SLE) are varied. The exact etiology and appropriate treatment are difficult to determine. We describe a 43-year-old woman who was diagnosed 18 years earlier with SLE. She developed dementia, gait disturbance, urinary incontinence and deterioration of consciousness. Her cerebrospinal fluid pressure was not elevated. Brain computerized tomography scan revealed enlarged ventricle and cortical sulci. Normal pressure hydrocephalus (NPH) was diagnosed. She was treated by establishing a ventriculo-peritoneal shunt, resulting in the return of normal consciousness. But she still had slurred speech, slow mentation and poor calculation ability. Her urinary incontinence persisted. Along with a literature review on NPH, we discuss its etiology, diagnosis and treatment. |
本系統中英文摘要資訊取自各篇刊載內容。