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1病例资料【例1】女,21岁。因发热伴关节肿痛1年,言语笨拙1个月入院。1年前无明显诱因出现发热,体温最高达38°C,伴指、趾间关节肿胀,双膝关节肿胀并疼痛,于当地医院按类风湿性关节炎治疗,症状无改善。1个月前无明显诱因出现言语笨拙,表现为语言不畅,表达不清,伴右手活动笨拙,右下肢行走稍拖拽。行头颅MRI检查示:右侧颞顶叶,左侧额、顶、岛叶多发长T1长T2信号影,病灶周围可见沿脑回分布的短T1线影,
1 case information [Example 1] Female, 21 years old. 1 year due to fever with joint pain, speech clumsy 1 month admission. One year ago no obvious incentive to fever, body temperature up to 38 ° C, with the fingers, interphalangeal joint swelling, swelling and pain in both knees, rheumatoid arthritis in the local hospital treatment, no improvement in symptoms. 1 month ago no obvious incentive speech clumsiness, manifested as poor language, poorly expressed, with awkward right hand activities, the right lower limb walk a little drag. Line skull MRI showed: the right temporal parietal lobe, left frontal, top, island long multiple T1 long T2 signal shadow, visible along the brain around the distribution of short T1 line shadow,