Kumakura Akira, Miyajima Tomoko, Fujii Tatsuya, Takahashi Yukitoshi, Ito Masatoshi
Department of Pediatrics, Shiga Medical Center for Children, Moriyama, Shiga, Japan.
Pediatr Neurol. 2003 Aug;29(2):160-3. doi: 10.1016/s0887-8994(03)00151-6.
This report concerns a 6-year-old female with epilepsia partialis continua. Autoantibodies against amino- and carboxyl-terminal regions of the N-methyl-D-aspartate receptor subunit glutamate receptor epsilon 2 were detected in the serum and cerebrospinal fluid. The anti-glutamate receptor epsilon 2 subunit antibodies have been demonstrated in the serum and cerebrospinal fluid in some patients with chronic progressive epilepsia partialis continua of childhood and those with Rasmussen's encephalitis. The patient, however, did not develop any neurologic deterioration or intractable seizures. Therefore, anti-glutamate receptor epsilon 2 subunit antibodies are not specific for chronic progressive epilepsia partialis continua of childhood and Rasmussen's encephalitis.
本报告涉及一名6岁患持续性部分性癫痫的女性。在血清和脑脊液中检测到针对N-甲基-D-天冬氨酸受体亚基谷氨酸受体ε2氨基和羧基末端区域的自身抗体。在一些儿童慢性进行性持续性部分性癫痫和患有拉斯穆森脑炎的患者的血清和脑脊液中已证实存在抗谷氨酸受体ε2亚基抗体。然而,该患者并未出现任何神经功能恶化或难治性癫痫发作。因此,抗谷氨酸受体ε2亚基抗体并非儿童慢性进行性持续性部分性癫痫和拉斯穆森脑炎所特有的。