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目的探讨神经白塞氏病的诊断和治疗特点,以期及早诊断和治疗,最大限度的降低病死率和致残率。方法对9例神经白塞氏病患者的临床资料进行回顾性分析。结果神经白塞病的发病率为7.6%,表现为视物模糊、复视3例,偏瘫3例,双下肢无力1例,失语、抽搐1例,意识障碍1例。病灶以脑干多见。结论神经白塞氏病的临床表现复杂而无特异性,诊断主要依赖于详细的病史询问,MRI和脑脊液检查有助于诊断和鉴别诊断。糖皮质激素和免疫抑制剂对神经白塞氏病有一定效果。早期诊断、规范治疗有利于降低病死率和致残率。
Objective To investigate the diagnosis and treatment of Nerve Behcet’s disease in order to diagnose and treat it as soon as possible and to reduce the mortality and morbidity to the maximum extent. Methods The clinical data of 9 patients with neurobending disease were retrospectively analyzed. Results The incidence of Nerve Behcet’s disease was 7.6%, showing blurred vision, 3 cases of diplopia, 3 cases of hemiplegia, 1 case of bilateral lower limb weakness, 1 case of aphasia and convulsion, and 1 case of disturbance of consciousness. More common brain stem lesions. Conclusions The clinical manifestation of Nerve Behcet’s disease is complex and nonspecific. The diagnosis mainly depends on detailed history inquiry. MRI and cerebrospinal fluid examination can be helpful for the diagnosis and differential diagnosis. Glucocorticoids and immunosuppressive agents have some effect on neurobending disease. Early diagnosis, standard treatment is conducive to reduce mortality and morbidity.