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急性脱髓鞘性疾病:急症与处理。

Acute demyelinating disorders: emergencies and management.

机构信息

Department of Neurology, Neurosciences Center, King Fahad Specialist Hospital Dammam, Dammam, Saudi Arabia.

出版信息

Neurol Clin. 2012 Feb;30(1):285-307, ix-x. doi: 10.1016/j.ncl.2011.09.013.

DOI:10.1016/j.ncl.2011.09.013
PMID:22284064
Abstract

Central nervous system (CNS) inflammatory demyelinating diseases are a group of disorders that include multiple sclerosis, acute disseminated encephalomyelitis, and neuromyelitis optica. These conditions may result in emergencies because of severe inflammatory destruction of CNS tissues or complications thereof. Most of these conditions are responsive to appropriate therapy and early diagnosis and treatment leads to better outcomes. We discuss the spectrum of emergencies associated with these disorders, as well as clinical features, investigations, and management.

摘要

中枢神经系统(CNS)炎性脱髓鞘疾病是一组疾病,包括多发性硬化、急性播散性脑脊髓炎和视神经脊髓炎。这些疾病可能会因中枢神经系统组织的严重炎症破坏或其并发症而导致急症。大多数情况下,这些疾病对适当的治疗有反应,早期诊断和治疗可获得更好的结果。我们讨论了与这些疾病相关的急症谱,以及其临床特征、检查和治疗。

相似文献

1
Acute demyelinating disorders: emergencies and management.急性脱髓鞘性疾病:急症与处理。
Neurol Clin. 2012 Feb;30(1):285-307, ix-x. doi: 10.1016/j.ncl.2011.09.013.
2
Fulminant Demyelinating Diseases of the Central Nervous System.中枢神经系统的暴发性脱髓鞘疾病
Semin Neurol. 2015 Dec;35(6):656-66. doi: 10.1055/s-0035-1564682. Epub 2015 Nov 23.
3
The limited demyelinating diseases: the voyage of optic neuritis and transverse myelitis to multiple sclerosis and neuromyelitis.有限的脱髓鞘疾病:视神经炎和横贯性脊髓炎向多发性硬化和视神经脊髓炎的航行。
Expert Rev Neurother. 2011 Mar;11(3):451-62. doi: 10.1586/ern.11.6.
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Therapeutic apheresis in pediatric patients with acute CNS inflammatory demyelinating disease.儿科急性中枢神经系统炎症性脱髓鞘疾病患者的治疗性血液净化。
Blood Purif. 2013;36(2):92-7. doi: 10.1159/000354077. Epub 2013 Sep 7.
5
Inflammatory demyelinating diseases in children: an update.儿童炎性脱髓鞘疾病:最新进展
Minerva Pediatr. 2013 Jun;65(3):307-23.
6
Differential diagnosis and diagnostic algorithm of demyelinating diseases.脱髓鞘疾病的鉴别诊断与诊断算法
Acta Clin Croat. 2009 Sep;48(3):345-8.
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A differential diagnosis of central nervous system demyelination: beyond multiple sclerosis.中枢神经系统脱髓鞘疾病的鉴别诊断:超越多发性硬化症。
J Neurol. 2012 May;259(5):801-16. doi: 10.1007/s00415-011-6240-5. Epub 2011 Sep 20.
8
[A case of acute disseminated encephalomyelitis with pathologically-proven acute demyelinating lesion in the peripheral nervous system].[一例经病理证实外周神经系统存在急性脱髓鞘病变的急性播散性脑脊髓炎]
Rinsho Shinkeigaku. 1994 Sep;34(9):892-7.
9
[Neuromyelitis optica: a clinical update].视神经脊髓炎:临床最新进展
Rev Neurol. 2010 Sep 1;51(5):289-94.
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[Diagnostic criteria in acute neuromyelitis].[急性视神经脊髓炎的诊断标准]
Oftalmologia. 2007;51(4):116-20.

引用本文的文献

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Magnetic Resonance Imaging of Autoimmune Demyelinating Diseases as a Diagnostic Challenge for Radiologists: Report of Two Cases and Literature Review.自身免疫性脱髓鞘疾病的磁共振成像:放射科医生面临的诊断挑战——两例报告及文献综述
Life (Basel). 2022 Mar 28;12(4):488. doi: 10.3390/life12040488.
2
Risk-benefit considerations in the treatment of relapsing-remitting multiple sclerosis.治疗复发缓解型多发性硬化的风险效益考量。
Neuropsychiatr Dis Treat. 2013;9:893-914. doi: 10.2147/NDT.S45144. Epub 2013 Jun 24.
3
Current options for the treatment of optic neuritis.
目前视神经炎的治疗选择。
Clin Ophthalmol. 2012;6:1211-23. doi: 10.2147/OPTH.S28112. Epub 2012 Jul 31.