【摘要 】 目的 探讨神经系统结节病的临床特点，提高诊断水平。方法 复习92例结节病病例并重点分析有神经系统损害的5例病例。结果 92例结节病例中1例尸解证实有脑结节病；4例有脑膜、颅神经、脊神经、周围神经损害。临床表现为癫痫，颅压高，肌肉无力，面肌瘫痪，视力减退。结论 神经系统结节病的临床表现多种多样。某些所谓原因不明的脑、脊髓、颅神经及周围神经病变，结节病为可能病因之一。

Yu Sen, Chen Bingliang, Wang Jiarui, et al. Xuan Wu Hospital, Affiliate of Capital University of Medical SciencesBeijing 100053

【Abstract 】 Objective For the purpose to evaluate the clinical characteristics of nervousinvolvement in sarcoidosis patients, and to improve the diagnostic skills. Method 92 cases with sarcoidosis were reviewed, and 5 of themwith damages to nervous system were retrospectively analyzed. Result One of the 92 cases was proved to be brain sarcoidosis byautopsy, and 4 presented damages to meniniges, cranial, spinal and peripheral nerves. Theclinical manifestations of the above 5 cases included epilepsy, intracranial hypertension,motor weakness, facial paralysis and dysopia. Conclusion Clinical manifestations of patients with sarcoidosis ofthe nervous system are varied. Sarcoidosis may be one of the potential causes of someunproven abnormalities in brain, spinal cord, cranial and peripheral nerves.

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