期刊文献+

以最后区综合征为首发表现的视神经脊髓炎谱系疾病(附2例报告及文献复习)

原文传递
导出
摘要 目的探讨视神经脊髓炎谱系疾病(NMOSD)的临床特点。方法回顾性分析2例以最后区综合征(不明原因的呃逆、恶心和呕吐)为首发症状NMOSD患者的临床表现和辅助检查特点,结合国内外文献,复习和总结NMOSD的临床特点和诊治方法。结果 2例患者均有脑干、第四脑室周围、颈髓受累。1例累及视神经。血清水通道蛋白4(AQP4)抗体均(+),予大剂量甲泼尼龙冲击治疗后症状明显改善。结论最后区综合征是NMOSD的特征性表现,早期识别最后区综合征对疾病诊断和治疗尤为重要。
出处 《中国临床神经科学》 2017年第4期440-443,共4页 Chinese Journal of Clinical Neurosciences
  • 相关文献

参考文献1

二级参考文献8

  • 1Saikali P, Cayrol R, Vincent T. Anti-aquaporin-4 auto-antibodies orchestrate the pathogenesis in neuromyelitis optica[J]. Autoimmun Rev,2009,9:132-135.
  • 2Lennon VA, Wingerchuk DM, Kryzer T J, et al. A serum autoantibody marker of neuromyelitis optica: distinction from multiple sclerosis[J]. Lancet,2004,364:2106-2112.
  • 3Vincent T, Saikali P, Cayrol R, et al. Functional consequences of neuromyelitis optica-IgG astrocyte interactions on blood-brain barrier permeability and granulocyte recruitment[J]. J Immunol,2008, 181:5730-5737.
  • 4Hinson SR, Roemer SF, Lucchinetti CF, et al. Aquaporin-4-binding autoantibodies in patients with neuromyelitis optica impair glutamate transport by down-regulating EAAT2[J]. J Exp Med,2008,205:2473- 2481.
  • 5Hinson SR, Pittock S J, Lucchinetti CF, et al. Pathogenic potential of IgG binding to water channel extracellular domain in neuromyelitis optica[J]. Neurology,2007,69:2221-2231.
  • 6Barnum SR, Szalai AJ. Complement and demyelinating disease: no MAC needed? [J]. Brain Res Rev,2006,52:58-68.
  • 7Spiller OB, Moretto G, Kim SU, et al. Complement expression on astrocytes and astrocytoma cell lines: failure of complement regulation at the C3 level correlates with very low CD55 expression[J]. J Neuroimmunol, 1996,71:97-106.
  • 8Harirchian MH, Tafakhori A, Taslimi S, et al. Seroprevalence of NMO- IgG Antibody in Neuromyelitis optica (NMO) and Its Specificity in Differentiating NMO from Other Demyelinating Diseases with Overlap Symptoms: An Iranian Experience[J]. Iran J Allergy Asthma Immunol,2015,14: 98 - 104.

共引文献7

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部