Dandy-Walker综合征案
发布时间:2019-01-09 07:34
【摘要】:正患者,女,38岁。就诊日期:2015年8月13日。主诉:双下肢乏力5年,伴言语不清1年。现病史:5年前无明显诱因突发双下肢乏力,走路不稳,就诊于当地医院,行头颅MRI示:脑实质内未见明显异常信号;小脑体积缩小,小脑髓纹加深、增宽,环池增宽,第四脑室扩大,并与枕池相连,小脑蚓部未见显示,第三脑室、侧脑室轻度扩大。诊断:DandyWalker综合征。未经系统治疗,间断性就治一段时间(具体治疗不详)后,症状仍进行性加重。1年前
[Abstract]:The patient, female, 38 years old. Date of visit: 13 August 2015. Chief complaint: lower extremity fatigue for 5 years, accompanied by speech confusion for 1 year. The present history: 5 years ago, there was no obvious inducement to burst the weakness of both lower limbs, walk instability, visit to the local hospital, head MRI showed: there was no obvious abnormal signal in the brain parenchyma; The cerebellar volume was reduced, the medullary striae deepened, the circle cistern widened, the fourth ventricle enlarged and connected with the occipital cistern, the cerebellar vermis was not shown, and the third ventricle and lateral ventricle were slightly enlarged. Diagnosis: DandyWalker syndrome. Without systematic treatment, intermittent treatment for a period of time (specific treatment unknown), the symptoms are still progressive aggravation 1 year ago.
【作者单位】: 天津中医药大学第一附属医院针灸科;天津中医药大学;
【分类号】:R246.6
,
本文编号:2405314
[Abstract]:The patient, female, 38 years old. Date of visit: 13 August 2015. Chief complaint: lower extremity fatigue for 5 years, accompanied by speech confusion for 1 year. The present history: 5 years ago, there was no obvious inducement to burst the weakness of both lower limbs, walk instability, visit to the local hospital, head MRI showed: there was no obvious abnormal signal in the brain parenchyma; The cerebellar volume was reduced, the medullary striae deepened, the circle cistern widened, the fourth ventricle enlarged and connected with the occipital cistern, the cerebellar vermis was not shown, and the third ventricle and lateral ventricle were slightly enlarged. Diagnosis: DandyWalker syndrome. Without systematic treatment, intermittent treatment for a period of time (specific treatment unknown), the symptoms are still progressive aggravation 1 year ago.
【作者单位】: 天津中医药大学第一附属医院针灸科;天津中医药大学;
【分类号】:R246.6
,
本文编号:2405314
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