Misdiagnosed as encephalitis one case of cerebral venous sinus thrombosis.doc

 PAGE \* MERGEFORMAT 7 Misdiagnosed as encephalitis one case of cerebral venous sinus thrombosis [Keywords:] Encephalitis misdiagnosis of cerebral venous sinus thrombosis Cerebral venous sinus thrombosis is a special type of cerebral vascular disease, low incidence, etiology complex onset forms, the lack of specific clinical manifestations, head CT scan and MR examination sensitivity and specificity is not high, cerebrospinal fluid check is usually normal, could easily lead to misdiagnosis and missed diagnosis. now I Division misdiagnosed as encephalitis 1 case of cerebral venous sinus thrombosis following report. 1 Clinical data Patients, male, 28 years old, because of “headache, somnolence 3 days, 1 day of consciousness” in the January 28, 2008 admission. The patient was admitted to hospital after 3 days before catching a stuffy nose, cough, cold medicines did not improve service . The next day, headache, and looked indifferent, sleepiness, not eating, no fever and convulsions. after anti-infective treatment ineffective. 1 day before admission, consciousness, and intermittent vomiting 3 to 4 times, can answer a simple questioning, irrelevant verbal exchanges pain stimulation activities poor limbs, incontinence. to “unconsciousness of unknown origin,” admitted to our department. past physical health, 2 months ago came from Fujian province in a certain county (about 3500 meters above sea level to work, at first without any discomfort. examination: T 37.0 , P 50 times / min, R 22 times / min, BP 120/80mmHg. mind moderate coma, eyes the ball center position, the pupil and other large, light reflection is sensitive, less active limb pain stimulation , weakened limbs, tendon reflexes, bilateral positive for the pathological. neck resistance, chest 3 refers to the chin, hiding g cell’s sign was negative. auxiliary examinations: routine blood test showed hemoglobin 190g / L, normal white blood cell count and neutrophil, erythrocyte sedimentation rate. clo