Dandy-Walker綜合征案
發(fā)布時(shí)間:2019-01-09 07:34
【摘要】:正患者,女,38歲。就診日期:2015年8月13日。主訴:雙下肢乏力5年,伴言語(yǔ)不清1年,F(xiàn)病史:5年前無(wú)明顯誘因突發(fā)雙下肢乏力,走路不穩(wěn),就診于當(dāng)?shù)蒯t(yī)院,行頭顱MRI示:腦實(shí)質(zhì)內(nèi)未見(jiàn)明顯異常信號(hào);小腦體積縮小,小腦髓紋加深、增寬,環(huán)池增寬,第四腦室擴(kuò)大,并與枕池相連,小腦蚓部未見(jiàn)顯示,第三腦室、側(cè)腦室輕度擴(kuò)大。診斷:DandyWalker綜合征。未經(jīng)系統(tǒng)治療,間斷性就治一段時(shí)間(具體治療不詳)后,癥狀仍進(jìn)行性加重。1年前
[Abstract]:The patient, female, 38 years old. Date of visit: 13 August 2015. Chief complaint: lower extremity fatigue for 5 years, accompanied by speech confusion for 1 year. The present history: 5 years ago, there was no obvious inducement to burst the weakness of both lower limbs, walk instability, visit to the local hospital, head MRI showed: there was no obvious abnormal signal in the brain parenchyma; The cerebellar volume was reduced, the medullary striae deepened, the circle cistern widened, the fourth ventricle enlarged and connected with the occipital cistern, the cerebellar vermis was not shown, and the third ventricle and lateral ventricle were slightly enlarged. Diagnosis: DandyWalker syndrome. Without systematic treatment, intermittent treatment for a period of time (specific treatment unknown), the symptoms are still progressive aggravation 1 year ago.
【作者單位】: 天津中醫(yī)藥大學(xué)第一附屬醫(yī)院針灸科;天津中醫(yī)藥大學(xué);
【分類號(hào)】:R246.6
,
本文編號(hào):2405314
[Abstract]:The patient, female, 38 years old. Date of visit: 13 August 2015. Chief complaint: lower extremity fatigue for 5 years, accompanied by speech confusion for 1 year. The present history: 5 years ago, there was no obvious inducement to burst the weakness of both lower limbs, walk instability, visit to the local hospital, head MRI showed: there was no obvious abnormal signal in the brain parenchyma; The cerebellar volume was reduced, the medullary striae deepened, the circle cistern widened, the fourth ventricle enlarged and connected with the occipital cistern, the cerebellar vermis was not shown, and the third ventricle and lateral ventricle were slightly enlarged. Diagnosis: DandyWalker syndrome. Without systematic treatment, intermittent treatment for a period of time (specific treatment unknown), the symptoms are still progressive aggravation 1 year ago.
【作者單位】: 天津中醫(yī)藥大學(xué)第一附屬醫(yī)院針灸科;天津中醫(yī)藥大學(xué);
【分類號(hào)】:R246.6
,
本文編號(hào):2405314
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