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Viral encephalitis with psychonosema symptoms as initial manifestations: clinical analysis of 24 cases
Author(s): 
Pages: 515-516
Year: Issue:  7
Journal: ANHUI MEDICAL AND PHARMACEUTICAL JOURNAL

Keyword:  病毒性脑炎精神障碍脑MRI;
Abstract: 目的探讨精神障碍为首发症状的病毒性脑炎的临床特点,以期早期诊断和治疗.方法对精神障碍为首发症状的24例病毒性脑炎的临床表现、脑脊液、脑电图和神经影像学资料进行回顾性分析.结果呈急性或亚急性发病,主要早期表现为发热、头痛、精神行为异常、智能减退、癫痫发作和意识障碍.常规脑脊液检查异常率50 %,早期脑电图检查异常率83 %,脑MRI检查异常率75 %.结论精神行为异常可以是病毒性脑炎的首发症状,常伴有智能减退、癫痫发作和意识障碍,结合脑电图和脑MRI检查可以作出早期诊断和治疗.
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