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.
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。.