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一名儿童的抗谷氨酸脱羧酶抗体相关边缘叶性脑炎:拓展儿童炎症性脑病的范围

Anti-glutamic Acid decarboxylase antibody associated limbic encephalitis in a child: expanding the spectrum of pediatric inflammatory brain diseases.

作者信息

Mishra Navin, Rodan Lance H, Nita Dragos A, Gresa-Arribas Nuria, Kobayashi Jeff, Benseler Susanne M

机构信息

1Division of Neurology, Department of Paediatrics, The Hospital for Sick Children, Toronto, Canada.

出版信息

J Child Neurol. 2014 May;29(5):677-83. doi: 10.1177/0883073813500527. Epub 2013 Oct 3.

Abstract

Anti-glutamic acid decarboxylase directed antibodies are a rare cause of autoimmune limbic encephalitis that is relatively resistant to immunotherapy. Here we report a 15-year-old boy with nonparaneoplastic, anti-glutamic acid decarboxylase limbic encephalitis presenting with subacute headache, memory disturbance, psychiatric symptoms, and seizures. At onset, his memory disturbance manifested as transient global amnesia-like episodes. Clinical remission was achieved with rituximab, intravenous immunoglobulin, and corticosteroids.

摘要

抗谷氨酸脱羧酶抗体是自身免疫性边缘叶脑炎的罕见病因,对免疫治疗相对耐药。本文报告一名15岁男孩,患非副肿瘤性抗谷氨酸脱羧酶边缘叶脑炎,表现为亚急性头痛、记忆障碍、精神症状和癫痫发作。起病时,他的记忆障碍表现为短暂性全面性遗忘样发作。使用利妥昔单抗、静脉注射免疫球蛋白和皮质类固醇后实现了临床缓解。

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