钩端螺旋体对脑及整个神经系统的损害,近年屡见报道。本文就阅读文献和个人体会,对神经系统钩端螺旋体病的几个临床类型谈一点意见,以供探讨。一、脑血管炎型多表现为缺血型脑循环障碍,极少数为蛛网膜下腔及硬膜下出血,流行期后1～5个月发病,10～12月三个月约占70%。约80%发生于12岁以下的儿童,部队青年战士中也常见散发病例。 Leptospirosis on the brain and the entire nervous system damage, frequently reported in recent years. This article reviews the literature and personal experience and comments on several clinical types of leptospirosis in the nervous system for discussion. First, the type of cerebrovascular inflammation mostly ischemic cerebral circulation disorder, a very small number of subarachnoid and subdural hemorrhage, the prevalence of 1 to 5 months after onset, 10 to December three months accounted for about 70% . About 80% occur in children under the age of 12, and cases are frequently found among young army warriors.