Padovan C S, Sostak P, Reich P, Kolb H-J, Müller-Felber W, Straube A
Neurologische Klinik, Ludwig-Maximilians-Universität München, Munich.
Nervenarzt. 2003 Feb;74(2):159-66. doi: 10.1007/s00115-002-1465-2.
Neuromuscular syndromes following allogeneic bone marrow transplantation (BMT), although occasionally described,were not the focus of studies concerning neurologic complications following bone marrow transplantation. In this study,we summarize different polyneuropathy syndromes following BMT and report on patients with myasthenia gravis and inflammatory neuromuscular disorders such as myositis or fasciitis. Concerning the etiology of neuropathies, a neurotoxicity of immunosuppressants,a preexisting disorder due to the underlying disease as well as an association with graft-versus-host disease (GVHD) is discussed.GVHD-associated polyneuropathies as well as muscular complications have been found to occur during the early BMT phase, while myasthenia gravis is a late neurologic complication of GVHD.
异基因骨髓移植(BMT)后的神经肌肉综合征虽偶有描述,但并非骨髓移植后神经并发症研究的重点。在本研究中,我们总结了BMT后的不同多发性神经病综合征,并报告了重症肌无力以及炎性神经肌肉疾病(如肌炎或筋膜炎)患者。关于神经病的病因,讨论了免疫抑制剂的神经毒性、基础疾病导致的原有病症以及与移植物抗宿主病(GVHD)的关联。已发现GVHD相关的多发性神经病以及肌肉并发症发生在BMT早期,而重症肌无力是GVHD的晚期神经并发症。