Clinical Experience in the Diagnosis and Treatment of Adult Acute Necrotizing Encephalopathy,Neuroimmunomodulation

当前位置： X-MOL 学术 › Neuroimmunomodulation › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

Clinical Experience in the Diagnosis and Treatment of Adult Acute Necrotizing Encephalopathy
Neuroimmunomodulation ( IF 2.4 ) Pub Date : 2022-06-27 , DOI: 10.1159/000524955
Mei-Ling Wang ₁ , Rui Liu ₂ , Li-Mei Zhang ₃ , Bin Zhao ₃ , Rui Jia ₃ , Yang Zhao ₃ , Ya-Lin Xi ₃ , Jing-Xia Ma ₃ , He Ma ₃

Affiliation

Purpose: We report two cases diagnosed as acute necrotizing encephalopathy (ANE) with acute onset and various clinical manifestations. Methods: The patients’ data were obtained from the medical records of the Binzhou Medical University Hospital in Binzhou, China. The clinical symptoms, laboratory examination, neuroimaging, treatment, and prognosis of the 2 patients were collected and analyzed. Results: We report 2 adult ANE patients with acute onset. The first symptom was fever, followed by symptoms and signs of damage to the central nervous system. The patients were infected with herpes simplex virus and influenza virus, respectively. The main manifestation on brain magnetic resonance imaging was a mixed-signal of a “three-layer structure” in the bilateral thalamus. The first patient died. Based on the experience of the diagnosis and treatment of the first patient, combined with a review of the literature, the second patient was immediately treated with glucocorticoid pulse therapy combined with gamma globulin injection. This patient’s condition was controlled, and the prognosis was good. Conclusions: This study describes the clinical symptoms, laboratory examination, neuroimaging evidence, and treatment experience of ANE in adults. We believe that the progress of the disease may be controlled, and the prognosis may be improved if glucocorticoid pulse therapy combined with gamma globulin injection is used as soon as possible.
Neuroimmunomodulation

更新日期：2022-06-27

点击分享查看原文

点击收藏

阅读更多本刊最新论文本刊介绍/投稿指南

全部期刊列表>>