带状疱疹性脊髓炎1例并文献复习

发布时间：2018-04-12 22:28

本文选题：水痘-带状疱疹病毒 + 脊髓炎　；参考：《中国皮肤性病学杂志》2014年01期

【摘要】：目的分析带状疱疹性脊髓炙的临床和影像学特征。方法报告本院诊治的1例带状疱疹性脊髓炎,并复习近年来国内外文献报道的资料相对完整的82例病例。结果本例为48岁男性患者,在右胸背部出现典型带状疱疹皮损后7d出现胸髓受累表现,经阿昔洛韦联合糖皮质激素治疗后完全恢复。既往文献共报告82例类似患者,91.57%(76/83)出现带状疱疹皮损,88.16%(67/76)脊髓受累节段与皮损分布的部位相对应,6例在皮损的远隔部位,3例继发于播散型带状疱疹。86.75%(72/83)行MRI检查,56例(77.78%)可见相应脊髓节段受累,30例(61.22%)患者胸段脊髓受累,其主要表现为肢体运动障碍(80/83)、感觉障碍(70/83)或/和括约肌功能障碍(46/83)。90.36%(75/83)例患者抗病毒治疗,79.52%(66/83)预后较好。结论带状疱疹性脊髓炎好发于中老年患者,易累及胸髓,早发现、及时有效的治疗,预后较好。
[Abstract]:Objective to analyze the clinical and imaging features of herpes zoster spinal cord burn.Methods A case of herpes zoster myelitis treated in our hospital was reported. 82 cases of herpes zoster myelitis were reviewed.Results in this 48-year-old male patient, typical herpes zoster lesions occurred 7 days after the onset of herpes zoster on the right chest and recovered completely after treatment with acyclovir combined with glucocorticoid.Previous literature reported 82 cases of similar patients with herpes zoster lesions (91.57% / 83) with herpes zoster lesions (88.1688.1688.1667 / 76). There were 6 cases corresponding to the distribution of lesions in 6 cases. 3 cases were secondary to disseminated herpes zoster. 86.75722% 83). MRI was performed in 56 cases (77.78).)It can be seen that the thoracic spinal cord is involved in 30 patients with corresponding spinal cord involvement.The main manifestations were as follows: 80 / 83 of motion disorders, 70 / 83 of sensory disorders, or / and 46 / 83 / 83 of sphincter dysfunction. 75 / 83 / 93) of patients with antiviral therapy had a better prognosis (79.52 / 66 / 83).Conclusion herpes zoster myelitis is more common in middle and old age patients, it is easy to involve thoracic spinal cord, early detection, timely and effective treatment, the prognosis is better.
【作者单位】：安徽医科大学附属安徽省立医院皮肤科;安徽医科大学附属安徽省立医院神经内科;
【分类号】：R752.12

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