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神经副肿瘤综合征

Neurologic paraneoplastic syndromes.

作者信息

Dropcho Edward J

机构信息

Department of Neurology, Indiana University Medical Center, CL 291, Indianapolis, IN 46202, USA.

出版信息

Curr Oncol Rep. 2004 Jan;6(1):26-31. doi: 10.1007/s11912-996-0006-8.

DOI:10.1007/s11912-996-0006-8
PMID:14664757
Abstract

Paraneoplastic disorders can affect any part of the central or peripheral nervous system. Although relatively uncommon, these disorders are a significant cause of severe neurologic disability among cancer patients. Many paraneoplastic disorders are believed to be caused by an autoimmune response directed against shared neural tumor antigens. This article summarizes the clinical features, possible autoimmune pathophysiology, and management issues for patients with paraneoplastic disorders.

摘要

副肿瘤性疾病可累及中枢或周围神经系统的任何部位。尽管相对不常见,但这些疾病是癌症患者严重神经功能障碍的重要原因。许多副肿瘤性疾病被认为是由针对共同神经肿瘤抗原的自身免疫反应引起的。本文总结了副肿瘤性疾病患者的临床特征、可能的自身免疫病理生理机制及管理问题。

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1
Paraneoplastic autoimmune optic neuritis with retinitis defined by CRMP-5-IgG.由抗CRMP-5 IgG抗体定义的副肿瘤性自身免疫性视神经炎伴视网膜炎
Ann Neurol. 2003 Jul;54(1):38-50. doi: 10.1002/ana.10587.
2
Anti-neuronal nuclear autoantibody type 2: paraneoplastic accompaniments.2型抗神经元细胞核自身抗体:副肿瘤伴随症状。
Ann Neurol. 2003 May;53(5):580-7. doi: 10.1002/ana.10518.
3
Mechanisms underlying cerebellar motor deficits due to mGluR1-autoantibodies.代谢型谷氨酸受体1自身抗体所致小脑运动功能障碍的潜在机制。
一位 30 岁男性,亚急性步态不稳、无力和肌肉痉挛。
Ann Clin Transl Neurol. 2020 Dec;7(12):2535-2537. doi: 10.1002/acn3.51181. Epub 2020 Nov 11.
Ann Neurol. 2003 Mar;53(3):325-36. doi: 10.1002/ana.10451.
4
Anti-Tr antibodies as markers of paraneoplastic cerebellar degeneration and Hodgkin's disease.抗-Tr抗体作为副肿瘤性小脑变性和霍奇金病的标志物。
Neurology. 2003 Jan 28;60(2):230-4. doi: 10.1212/01.wnl.0000041495.87539.98.
5
Reduction of P/Q-type calcium channels in the postmortem cerebellum of paraneoplastic cerebellar degeneration with Lambert-Eaton myasthenic syndrome.伴有兰伯特-伊顿肌无力综合征的副肿瘤性小脑变性患者死后小脑组织中P/Q型钙通道减少。
Ann Neurol. 2003 Jan;53(1):21-8. doi: 10.1002/ana.10392.
6
Seronegative Lambert-Eaton myasthenic syndrome: study of 110 Japanese patients.血清阴性兰伯特-伊顿肌无力综合征:110例日本患者的研究
Neurology. 2002 Dec 10;59(11):1773-5. doi: 10.1212/01.wnl.0000037485.56217.5f.
7
Ion channel and striational antibodies define a continuum of autoimmune neuromuscular hyperexcitability.离子通道抗体和横纹肌抗体界定了自身免疫性神经肌肉兴奋性过高的连续谱。
Muscle Nerve. 2002 Nov;26(5):702-7. doi: 10.1002/mus.10266.
8
Vaccination with recoverin, a cancer-associated retinopathy antigen, induces autoimmune retinal dysfunction and tumor cell regression in mice.用恢复蛋白(一种与癌症相关的视网膜病变抗原)进行疫苗接种可诱导小鼠出现自身免疫性视网膜功能障碍和肿瘤细胞消退。
Eur J Immunol. 2002 Aug;32(8):2300-7. doi: 10.1002/1521-4141(200208)32:8<2300::AID-IMMU2300>3.0.CO;2-7.
9
Cytotoxic T cell activity against peptides of Hu protein in anti-Hu syndrome.抗Hu综合征中细胞毒性T细胞针对Hu蛋白肽段的活性。
J Neurol Sci. 2002 Sep 15;201(1-2):9-12. doi: 10.1016/s0022-510x(02)00157-0.
10
Phenotypic variants of autoimmune peripheral nerve hyperexcitability.自身免疫性周围神经兴奋性过高的表型变异
Brain. 2002 Aug;125(Pt 8):1887-95. doi: 10.1093/brain/awf178.