RT期刊文章SR电子T1脑干倾斜偏差的症状肺炎支原体meningoencephalomyelitis乔(P1.304)摩根富林明神经病学神经病学FD Lippincott Williams &威尔金斯SP P1.304 VO 88是16补充A1林大卫A1 Seth莱文A1 Anoopum Gupt首页a A1塞巴斯蒂安Urday A1凯瑟琳阿尔宾A1 Nagagopal Venna年2017 UL //www.ez-admanager.com/content/88/16_Supplement/P1.304.abstract AB目的:描述的临床过程和神经影像学发现一个年轻的女人看到一个脑干倾斜偏差发现肺炎支原体感染。背景:肺炎支原体可以有一系列的主要传染病和para-infectious神经系统并发症包括脑炎、脊髓炎和脱髓鞘综合症。在这里,我们描述一个案件的支原体肺炎引起meningoencephalomyelitis表现为脑干倾斜,讨论的范围传染病和para-infectious与支原体相关的神经系统并发症,突出有关神经解剖学中央倾斜偏差,并讨论证据与阿奇霉素治疗和静脉注射免疫球蛋白(丙种球蛋白)。设计/方法:病例报告和文献的全面审查。结果:偏头痛史的一个23岁的女人,面对一天的头痛、恶心、呕吐、发烧、和垂直的上下文中复视上呼吸道感染。床边考试显示上斜眼OD和倾斜偏差。最初的脑部MRI并没有透露任何明确的结果。初始显示腰椎穿刺脑脊液细胞增多(20白细胞)与中性粒细胞优势。四天之后她的症状,她的右臂的弱点。重复大脑和颈椎MRI显示T2 hyperintensities后脑桥、小脑蚓部,第四脑室的地板,在颈椎前角。重复腰椎穿刺显示进化与202白细胞淋巴细胞脑脊液细胞增多。一个广泛的传染病和自体免疫检查是追求。 Mycoplasma IgM serology (enzyme immunoassay and confirmatory immunoflourescence) returned positive. She was treated with a course of azithromycin and IvIG with rapid improvement. At 3 month follow-up, she reported no continuing diplopia, was noted to have no hypertropia, and had significantly improved right arm weakness.Conclusions: Mycoplasma infection should be considered in cases of brainstem skew deviation with associated encephalitis. In these cases, administration of azithromycin and IvIG can lead to rapid clinical improvement.Disclosure: Dr. Lin has nothing to disclose. Dr. Levin has nothing to disclose. Dr. Gupta has nothing to disclose. Dr. Urday has nothing to disclose. Dr. Albin has nothing to disclose. Dr. Venna has nothing to disclose.