【摘要】 目的:探讨病毒性脑炎合并急性视网膜坏死综合征的临床特点。方法:回顾湘雅医院神经内科2013年10月至2015年3月诊治的6例病毒性脑炎合并急性视网膜坏死综合征患者的临床资料,总结分析其临床特点、治疗及预后。结果:6例诊断为病毒性脑炎的患者起病初期临床特点大致相同,主要表现为发热、痫性发作、意识障碍。患者均于发病后短期内体格检查发现双侧瞳孔扩大,直接、间接对光反射消失,眼科会诊临床诊断为视网膜坏死综合征。经足疗程的抗病毒治疗及抗炎治疗,患者神经系统症状好转,但均遗留不同程度的视力损害。结论:病毒性脑炎合并急性视网膜坏死综合征并不少见,神经内科医师需加强对该病的认识。更多还原

【Abstract】 Objective: To explore the clinical features of viral encephalitis with acute retinal necrosis syndrome.Methods: Clinical symptoms, laboratory tests, treatment and prognosis for 6 patients with viral encephalitis and acute retinal necrosis syndrome, who admitted to Xiangya Hospital from October 2013 to March 2015, were retrospectively analyzed.Results: Clinical features of the six cases are similar. Anti-virus treatment and anti-inflammation therapy can improve the prognosis. Conclusion: Viral encephalitis with acute retinal necrosis syndrome is common and the neurological physicians need to strengthen the understanding of this disease.更多还原