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脑磁共振成像病变与抗肿瘤坏死因子-α治疗

Cerebral MRI lesions and anti-tumor necrosis factor-alpha therapy.

作者信息

Winkelmann Alexander, Patejdl Robert, Wagner Sabine, Benecke Reiner, Zettl Uwe Klaus

机构信息

Department of Neurology, University of Rostock, Gehlsheimer Strasse 20, 18147 Rostock, Germany.

出版信息

J Neurol. 2008 Dec;255 Suppl 6:109-14. doi: 10.1007/s00415-008-6020-z.

DOI:10.1007/s00415-008-6020-z
PMID:19300970
Abstract

We discuss two cases receiving different anti-tumornecrosis-factor alpha antagonists (anti-TNF-alpha); one for psoriatic arthritis (PA) and the other for ankylosing spondylitis (AS). Due to neurological symptoms cerebral magnetic resonance imaging (MRI) was performed and cerebral lesions were detected. Our interpretations of these cerebral lesions and the resulting diagnostic and therapeutic consequences are presented in regard of data published in the medical literature.

摘要

我们讨论了两例接受不同抗肿瘤坏死因子α拮抗剂(抗TNF-α)治疗的病例;一例用于银屑病关节炎(PA),另一例用于强直性脊柱炎(AS)。由于出现神经症状,进行了脑部磁共振成像(MRI)检查并检测到脑部病变。我们根据医学文献中发表的数据,对这些脑部病变及其诊断和治疗结果进行了解读。

相似文献

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Cerebral MRI lesions and anti-tumor necrosis factor-alpha therapy.脑磁共振成像病变与抗肿瘤坏死因子-α治疗
J Neurol. 2008 Dec;255 Suppl 6:109-14. doi: 10.1007/s00415-008-6020-z.
2
Tipping the balance: anti-tumour necrosis factor alpha therapy may damage cerebral nerve reservation.打破平衡:抗肿瘤坏死因子 α 治疗可能损害脑神经储备。
Med Hypotheses. 2009 Dec;73(6):958-60. doi: 10.1016/j.mehy.2009.06.029. Epub 2009 Jul 19.
3
Four cases of Japanese patients with psoriatic arthritis in whom effective treatments by anti-tumor necrosis factor-α drugs were evaluated by magnetic resonance imaging together with improvement of skin lesions.4例日本银屑病关节炎患者,通过磁共振成像评估抗肿瘤坏死因子-α药物的有效治疗情况以及皮肤病变的改善情况。
J Dermatol. 2015 Jan;42(1):49-55. doi: 10.1111/1346-8138.12708. Epub 2014 Nov 26.
4
Multiple neurological abnormalities, including pontine hemorrhage, multiple sclerosis and aseptic meningitis, during anti-TNF-α therapy in psoriatic arthritis.
Eur J Dermatol. 2015 Sep-Oct;25(5):487-8. doi: 10.1684/ejd.2015.2558.
5
[Neurological adverse events under anti-TNF alpha therapy].[抗TNF-α治疗下的神经系统不良事件]
Rev Neurol (Paris). 2012 Jan;168(1):33-9. doi: 10.1016/j.neurol.2011.06.005. Epub 2011 Nov 17.
6
Update on anti-tumor necrosis factor therapy in the spondyloarthropathies including psoriatic arthritis.脊柱关节炎(包括银屑病关节炎)中抗肿瘤坏死因子治疗的最新进展。
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Increased cortical grey matter lesion detection in multiple sclerosis with 7 T MRI: a post-mortem verification study.7T MRI 检测多发性硬化症皮质灰质病变的增加:一项死后验证研究。
Brain. 2016 May;139(Pt 5):1472-81. doi: 10.1093/brain/aww037. Epub 2016 Mar 8.

引用本文的文献

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Management strategies in rheumatoid arthritis.类风湿关节炎的治疗策略。
Nat Rev Rheumatol. 2024 Dec;20(12):760-769. doi: 10.1038/s41584-024-01169-7. Epub 2024 Oct 24.
2
Neurological Side Effects of TNF-α Inhibitors Revisited: A Review of Case Reports.重新审视 TNF-α 抑制剂的神经副作用:病例报告综述。
Medicina (Kaunas). 2024 Aug 28;60(9):1409. doi: 10.3390/medicina60091409.
3
PPMS onset upon adalimumab treatment extends the spectrum of anti-TNF-α therapy-associated demyelinating disorders.阿达木单抗治疗期间发生的进展型多发性硬化拓宽了抗TNF-α治疗相关脱髓鞘疾病的范围。

本文引用的文献

1
Toward the development of rational therapies in multiple sclerosis: what is on the horizon?迈向多发性硬化症合理治疗方法的发展:未来有什么新进展?
Ann Neurol. 2007 Oct;62(4):314-26. doi: 10.1002/ana.21289.
2
Autoimmune disease in families with multiple sclerosis: a population-based study.多发性硬化症家族中的自身免疫性疾病:一项基于人群的研究。
Lancet Neurol. 2007 Jul;6(7):604-10. doi: 10.1016/S1474-4422(07)70132-1.
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Adalimumab-associated multiple sclerosis.阿达木单抗相关的多发性硬化症
Ther Adv Neurol Disord. 2020 Jan 2;13:1756286419895155. doi: 10.1177/1756286419895155. eCollection 2020.
4
CNS Demyelination with TNF-α Blockers.使用肿瘤坏死因子-α阻滞剂导致的中枢神经系统脱髓鞘病变
Curr Neurol Neurosci Rep. 2017 Apr;17(4):36. doi: 10.1007/s11910-017-0742-1.
5
Adalimumab Induced or Provoked MS in Patient with Autoimmune Uveitis: A Case Report and Review of the Literature.阿达木单抗诱发或激发自身免疫性葡萄膜炎患者发生多发性硬化症:一例报告及文献复习
Case Rep Med. 2016;2016:1423131. doi: 10.1155/2016/1423131. Epub 2016 Oct 20.
6
Optic Neuritis Associated or Not with TNF Antagonists in Patients with Inflammatory Bowel Disease.炎症性肠病患者中与肿瘤坏死因子拮抗剂相关或不相关的视神经炎
J Crohns Colitis. 2016 May;10(5):541-8. doi: 10.1093/ecco-jcc/jjw003. Epub 2016 Jan 12.
7
Neurological adverse events in patients receiving anti-TNF therapy: a prospective imaging and electrophysiological study.接受抗TNF治疗患者的神经不良事件:一项前瞻性影像学和电生理研究。
Arthritis Res Ther. 2014 Jun 17;16(3):R125. doi: 10.1186/ar4582.
8
Demyelinating Disease following Anti-TNFa Treatment: A Causal or Coincidental Association? Report of Four Cases and Review of the Literature.抗TNFα治疗后发生的脱髓鞘疾病:因果关系还是巧合?4例报告及文献复习
Case Rep Neurol Med. 2013;2013:671935. doi: 10.1155/2013/671935. Epub 2013 May 16.
9
Cytokine control of inflammation and repair in the pathology of multiple sclerosis.细胞因子在多发性硬化症病理中的炎症和修复调控。
Yale J Biol Med. 2012 Dec;85(4):447-68. Epub 2012 Dec 13.
10
Tumor necrosis factor-alpha and the roles it plays in homeostatic and degenerative processes within the central nervous system.肿瘤坏死因子-α及其在中枢神经系统稳态和退行性过程中的作用。
J Neuroimmune Pharmacol. 2012 Mar;7(1):42-59. doi: 10.1007/s11481-011-9287-2. Epub 2011 Jul 5.
J Rheumatol. 2007 Jan;34(1):239-40; discussion 240.
4
Fatal aseptic meningoencephalitis following infliximab treatment for inflammatory bowel disease.英夫利昔单抗治疗炎性肠病后发生的致死性无菌性脑膜脑炎。
Gut. 2006 Jul;55(7):1056. doi: 10.1136/gut.2006.093294.
5
Ischemic demyelination.缺血性脱髓鞘
Neurol Res. 2006 Apr;28(3):334-40. doi: 10.1179/016164106X98242.
6
Guillain-Barré and Miller Fisher syndromes occurring with tumor necrosis factor alpha antagonist therapy.肿瘤坏死因子α拮抗剂治疗相关的吉兰-巴雷综合征和米勒-费雪综合征。
Arthritis Rheum. 2006 May;54(5):1429-34. doi: 10.1002/art.21814.
7
Association of rheumatoid arthritis with multiple sclerosis: report of 14 cases and discussion of its significance.类风湿关节炎与多发性硬化症的关联:14例报告及其意义探讨
J Rheumatol. 2006 May;33(5):1027-8. Epub 2006 Mar 15.
8
Neurological complications of infliximab.英夫利昔单抗的神经并发症
J Rheumatol. 2006 May;33(5):1018-20. Epub 2006 Mar 1.
9
New-onset demyelination induced by infliximab therapy in two rheumatoid arthritis patients.英夫利昔单抗治疗诱发两名类风湿关节炎患者出现新发脱髓鞘病变
Clin Rheumatol. 2006 Nov;25(6):929-33. doi: 10.1007/s10067-005-0097-x.
10
CNS demyelination during anti-tumor necrosis factor alpha therapy.抗肿瘤坏死因子α治疗期间的中枢神经系统脱髓鞘
J Neurol. 2006 May;253(5):668-9. doi: 10.1007/s00415-005-0055-1. Epub 2005 Nov 29.