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目的:探讨瘤样炎性脱髓鞘病(TIDD)的临床特点,提高临床识别能力,以减少误诊误治。方法:回顾性分析我院1例确诊为瘤样炎性脱髓鞘病患者临床资料并复习相关文献。结果:本例患者临床表现缺乏特异性,曾被拟诊为胶质瘤,后经组织病理学检查确诊为瘤样炎性脱髓鞘病,给予糖皮质激素冲击治疗后,病情好转出院。结论:瘤样炎性脱髓鞘病在颅内占位病变中临床表现不典型,易误诊,应注意与胶质瘤鉴别。
Objective: To investigate the clinical features of tumor-like inflammatory demyelinating disease (TIDD) and improve the ability of clinical identification to reduce the misdiagnosis and misdiagnosis. Methods: A retrospective analysis of 1 patient diagnosed as tumor-like inflammatory demyelinating clinical data and review the relevant literature. Results: The clinical manifestations of this patient lack of specificity, had been diagnosed as glioma, after histopathological examination diagnosed as tumor-like inflammatory demyelinating disease, giving glucocorticoid impact treatment, the condition improved and discharged. Conclusion: Tumor - like inflammatory demyelinating disease in the intracranial space lesions in atypical clinical manifestations, easily misdiagnosed, should pay attention to identification with glioma.