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健康儿童的行为发作、口面运动障碍和 CSF 细胞增多症。

Behavior outbursts, orofacial dyskinesias, and CSF pleocytosis in a healthy child.

机构信息

Department of Pediatric Infectious Diseases, Johns Hopkins Medical Institution, 200 N Wolfe St, Suite 3150, Baltimore, MD 21287, USA.

出版信息

Pediatrics. 2011 Jul;128(1):e242-5. doi: 10.1542/peds.2010-3504. Epub 2011 Jun 6.

DOI:10.1542/peds.2010-3504
PMID:21646261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3124105/
Abstract

Anti-N-methyl-D-aspartate (NMDA) receptor encephalitis represents a new category of immune-mediated neurologic disorders. Viral encephalitis is often the presumptive diagnosis because of the acute neurologic changes, cerebrospinal fluid lymphocytic pleocytosis, and occasional hyperthermia. We report here the case of a previously healthy 7-year-old boy with new-onset aggressive behavior, seizure activity, and orofacial dyskinesias with cerebrospinal fluid and serum that tested positive for anti-NMDA receptors.

摘要

抗 N-甲基-D-天冬氨酸 (NMDA) 受体脑炎是一种新型免疫介导的神经疾病。由于急性神经改变、脑脊液淋巴细胞增多和偶尔发热,病毒性脑炎常被初步诊断。我们在此报告一例先前健康的 7 岁男孩,新出现攻击性行为、癫痫发作和口面部运动障碍,脑脊液和血清 NMDA 受体检测阳性。

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本文引用的文献

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N-methyl-D-aspartate antibody encephalitis: temporal progression of clinical and paraclinical observations in a predominantly non-paraneoplastic disorder of both sexes.N-甲基-D-天冬氨酸抗体脑炎:两性均患的主要非副肿瘤性疾病的临床和临床旁观察的时间进程。
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Cellular and synaptic mechanisms of anti-NMDA receptor encephalitis.抗 NMDA 受体脑炎的细胞和突触机制。
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Expanding spectrum of encephalitis with NMDA receptor antibodies in young children.幼儿中抗N-甲基-D-天冬氨酸受体抗体相关脑炎的谱系扩展
J Child Neurol. 2010 Jun;25(6):742-5. doi: 10.1177/0883073809343319. Epub 2009 Oct 15.
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Evidence for antibody-mediated pathogenesis in anti-NMDAR encephalitis associated with ovarian teratoma.抗 NMDAR 脑炎伴卵巢畸胎瘤中抗体介导发病机制的证据。
Acta Neuropathol. 2009 Dec;118(6):737-43. doi: 10.1007/s00401-009-0582-4.
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