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目的讨论脑干脑炎的特点、MRI变化及预后。方法总结分析15例临床确诊的脑干脑炎临床特点、MRI变化。结果脑干脑炎多急性或亚急性起病,以头晕、复视、行走不稳、饮水呛咳等为首发症状;全部患者均有单侧颅神经损害表现;MRI与临床定位相符率低;经及时给予糖皮质激素等治疗,患者预后良好。结论脑干脑炎的诊断主要依据临床表现。
Objective To discuss the characteristics of brain stem encephalitis, MRI changes and prognosis. Methods The clinical features and MRI changes of 15 clinically diagnosed brainstem encephalitis were analyzed. Results Acute or subacute onset of brainstem encephalitis showed dizziness, diplopia, unstable ambulation and cough of drinking water as the first symptom. All patients had unilateral cranial nerve lesion performance. The coincidence rate between MRI and clinical location was low. The timely administration of glucocorticoids and other treatment, the prognosis of patients with good. Conclusion The diagnosis of brainstem encephalitis is mainly based on clinical manifestations.