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目的 探讨获得性免疫缺陷综合征 (AIDS)患者神经系统并发症的临床特征。方法 对1992年 1月至 2 0 0 1年 5月间确诊的伴有神经系统并发症的 5例AIDS患者进行临床分析。结果 5例中有 1例空泡性脊髓病 ,1例空泡性脊髓病伴痴呆 ,1例颅内结核瘤伴痴呆 ,1例脑梗死伴继发性癫痫及三叉神经痛 ,1例多发性运动感觉神经病。其中 2例空泡性脊髓病均为首发症状。结论 AIDS患者容易发生各种神经系统并发症 ,尤以空泡性脊髓病及痴呆多见 ,年轻突发痴呆患者尤其伴有机会性感染时需考虑该病的可能。对这些患者 ,应检查血抗人类免疫缺陷病毒 (HIV)抗体。
Objective To investigate the clinical features of neurological complications in patients with Acquired Immune Deficiency Syndrome (AIDS). Methods Clinical data of 5 AIDS patients with neurological complications diagnosed between January 1992 and May 2001 were analyzed. Results Among the 5 cases, there were 1 case of vacuolar myelopathy, 1 case of vacuolar myelopathy with dementia, 1 case of intracranial tuberculosis with dementia, 1 case of cerebral infarction with secondary epilepsy and trigeminal neuralgia, 1 case of multiple Sports sensory neuropathy. Two cases of vacuolar myelopathy are the first symptom. Conclusions AIDS patients are prone to various neurological complications, especially in the case of vacuolar myelopathy and dementia. Patients with young sudden dementia should be considered when opportunistic infections are considered. For these patients, blood anti-human immunodeficiency virus (HIV) antibodies should be examined.