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钩端螺旋体(以下简称钩体)脑动脉炎,是钩体病的神经系统并发症之一,临床上常易与散发性脑炎相混淆,现将误诊的4例报告如下。例1 女 8岁郑州市人。因发作性右侧偏瘫、失语,曾于1978年6月1日入院。就诊时,查脑脊液:白细胞20个立方毫米,其余正常。脑电图:两半球有中一高幅δ波,及较多θ波、左半球占优势。拟诊为散发性脑炎。经用激素、抗菌素等治疗好转,不久又反复。此次入院前一月,曾查钩体凝溶试验为阳性,以钩体脑动脉炎收住院。追询病史患儿于1977年曾回农村,发过一段高烧。此次检查:除右下肢病理反射(±),余内科及神经系检
Leptospira (hereinafter referred to as leptospirosis) cerebral arteritis, leptospirosis is one of the neurological complications, clinically easy to be confused with sporadic encephalitis, now misdiagnosed 4 cases are reported as follows. Example 1 Female 8-year-old Zhengzhou City. Due to episodes of right hemiplegia, aphasia, was admitted on June 1, 1978. Visits, check cerebrospinal fluid: 20 cubic mm white blood cells, the rest of normal. EEG: the two hemispheres have a high-amplitude δ-wave, and more θ-wave, dominant left hemisphere. To be diagnosed as sporadic encephalitis. With hormones, antibiotics and other treatment improved, soon after again. One month prior to the admission, the leptospirosis test was positive and the leptospirosis was admitted to the hospital. Pursuit of medical history Children in 1977 returned to rural areas, made a period of high fever. The examination: In addition to the right lower extremity pathological reflexes (), Yu internal medicine and neurological examination