桥本氏脑病幻灯.pptxVIP

桥本脑病（Hashimoto’s Encephalopathy，HE）;提纲;;现病史（1）;现病史（2）;既往史;查体;辅助检查（1）;腰穿;诊断、治疗及预后;桥本脑病综述;概念（1）;概念（2）;桥本脑病（HE）的流行病学;HE临床表现（1）;HE临床表现（2）;HE临床表现（3）;HE的实验室检查－血清学;HE的实验室检查－甲状腺功能;HE的实验室检查－甲状腺抗体;HE的腰穿结果;HE的实验室检查－EEG和血管造影;HE的影像学;Figure 2. Axial T2-weighted MRI brain scan through the temporal lobes shows bilateral areas of increased signal intensity involving the mesial temporal lobes and hippocampi (arrows). ;Fig. 2 MRI one day after admission: axial FLAIR images show widespread hyperintense signals over the left temporal and both parieto-occipital lobes in the subcortical white matter;HE病理;Duffey P. Hashimotos encephalopathy: postmortem findings after fatal status epilepticus. Neurology. 2003 Oct 28;61(8):1124-6. ;The neuropathological features include discrete areas of emyelination (G; areas of pallor on Hematoxylin and Eosin [arrowheads], H; Luxol Fast Blue staining) with relative reservation of axons (I; Bielschowsky staining). The lack of erivascular cuffs is evident in the Hematoxylin and Eosin staining (G).;HE的诊断;鉴别诊断;发病机制;关于发病机制的两种学说（1）;关于发病机制的两种学说（2）;治疗流程;治疗;预后;该病给我们的启示;对该病将来研究的展望;关于甲状腺疾病和神经系统的关系