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目的探究中枢神经系统瘤样炎性脱髓鞘病(TITD)的临床特点和临床治疗方法。方法 48例中枢神经系统瘤样炎性脱髓鞘病患者,回顾性分析其临床资料,并总结归纳此类患者的临床特点和治疗方法。结果中枢神经系统瘤样炎性脱髓鞘病患者临床上主要表现为四肢无力、呕吐、头晕、语言功能障碍等,病理学检查下病灶部位有大量淋巴细胞、浆细胞、泡沫样细胞浸润,核磁共振下表现出肿瘤特征;临床治疗TITD以激素治疗为主。结论临床上针对中枢神经系统瘤样炎性脱髓鞘病患者,应根据临床特点进行早期诊断,治疗方案可采用糖皮质激素治疗,具有较好的临床效果。
Objective To investigate the clinical features and clinical treatment of central nervous system tumor-like inflammatory demyelinating disease (TITD). Methods A total of 48 patients with central nervous system neoplasia with inflammatory demyelinating disease were retrospectively analyzed. The clinical features and treatment methods of these patients were summarized. Results The clinical manifestations of central nervous system tumor-like inflammatory demyelinating disease were mainly limb weakness, vomiting, dizziness, language dysfunction, etc. There were a large number of lymphocytes, plasma cells and foam-like cells infiltrating the lesions in the pathological examination. Resonance showed tumor characteristics; clinical treatment of TITD hormone therapy. Conclusions Clinic patients with central nervous system tumor-like inflammatory demyelinating disease should be diagnosed early according to clinical features, treatment options may be glucocorticoid therapy, has a good clinical effect.