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目的探讨脑干脑炎的临床特点以及其与脑干其他病变的鉴别要点。方法对24例脑干脑炎患者的临床资料进行回顾性分析。结果该病以青壮年为高发病人群,主要临床表现为颅神经核团、网状上行激活系统以及锥体束受损的症状,脑脊液检查以及头颅MRI有阳性发现。结论脑干脑炎早期诊断困难,脑脊液检查和头颅MRI有助于与其他脑干病变鉴别诊断。
Objective To explore the clinical features of encephalitis encephalitis and its identification of other lesions of brain stem. Methods The clinical data of 24 patients with brain stem encephalitis were analyzed retrospectively. Results The disease was characterized by high incidence of young and middle-aged patients. The main clinical manifestations were cranial nerve nuclei, reticular ascending activation system and the symptoms of pyramidal tract injury, cerebrospinal fluid examination and cranial MRI. Conclusions Early diagnosis of brainstem encephalitis is difficult. Cerebrospinal fluid examination and cranial MRI may be helpful for the differential diagnosis of other brain stem lesions.