论文部分内容阅读
目的分析14例神经系统副肿瘤综合征患者的临床特点。方法将我院收治的14例神经系统副肿瘤综合征患者的临床资料进行分析。结果亚急性小脑变性4例,癌性感觉性周围神经病4例,Lambert-Eaton肌无力综合征3例,脑干脑炎、边缘叶脑炎1例,多发性肌炎和皮肌炎1例,运动神经元病1例。结论神经系统副肿瘤综合征患者多为中老年,男性多为肺癌,女性多为肺癌、卵巢癌、乳腺癌,慢性或亚急性起病,多累及神经系统一个或多个部位,误诊率高,早期确诊对于肿瘤的发现和治疗非常重要。
Objective To analyze the clinical features of 14 patients with paraneoplastic syndromes of the nervous system. Methods The clinical data of 14 patients with neurological paraneoplastic syndrome admitted to our hospital were analyzed. Results 4 cases of subacute cerebellar degeneration, 4 cases of cancerous sensory peripheral neuropathy, 3 cases of Lambert-Eaton myasthenic syndrome, 1 case of brainstem encephalitis, 1 case of limbic encephalitis, 1 case of polymyositis and dermatomyositis, 1 case of motor neuron disease. Conclusion Most of the patients with paraneoplastic syndromes of the nervous system are mostly middle-aged and old people. Most of them are lung cancer. Female patients mostly have lung cancer, ovarian cancer, breast cancer, chronic or subacute onset, multiple involvement of one or more parts of the nervous system, high misdiagnosis rate, Early diagnosis for the discovery and treatment of tumors is very important.