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鞘内注射干扰素治疗亚急性硬化性全脑炎

Intrathecal interferon in subacute sclerosing panencephalitis.

作者信息

Huttenlocher P R, Picchietti D L, Roos R P, Cashman N R, Horowitz B, Horowitz M S

出版信息

Ann Neurol. 1986 Mar;19(3):303-5. doi: 10.1002/ana.410190317.

DOI:10.1002/ana.410190317
PMID:2421637
Abstract

Five patients with clinically advanced subacute sclerosing panencephalitis (SSPE) were given human leukocyte interferon (IFN) by the lumbar route, 1 million IU every other day for a total of 30 days. Intrathecal IFN produced a meningeal inflammatory reaction in all patients and was associated with transient hemiparesis in 1. It persisted in the cerebrospinal fluid at measurable levels for 48 hours after a single injection. Although improvement was temporally related to intrathecal IFN in 1 patient, it is not clear whether this was induced by IFN or a spontaneous remission. A randomized controlled trial would be necessary to evaluate IFN critically as a therapy for SSPE.

摘要

5例临床诊断为晚期亚急性硬化性全脑炎(SSPE)的患者接受了经腰椎途径给予的人白细胞干扰素(IFN)治疗,隔日100万国际单位,共30天。鞘内注射IFN在所有患者中均引起了脑膜炎症反应,其中1例患者出现了短暂性偏瘫。单次注射后,脑脊液中可测量水平的IFN持续存在48小时。尽管1例患者的病情改善在时间上与鞘内注射IFN有关,但尚不清楚这是由IFN诱导还是自发缓解。有必要进行一项随机对照试验,以严格评估IFN作为SSPE治疗方法的效果。

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引用本文的文献

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Contemporary Treatment Practices for Subacute Sclerosing Panencephalitis: A Nationwide Survey Among Adult and Pediatric Neurologists in India.亚急性硬化性全脑炎的当代治疗实践:印度成人及儿科神经科医生的全国性调查
Ann Indian Acad Neurol. 2024 Nov 1;27(6):684-689. doi: 10.4103/aian.aian_507_24. Epub 2024 Dec 5.
2
Disease-Modifying Therapy in Subacute Sclerosing Panencephalitis: An Area of Darkness.亚急性硬化性全脑炎的疾病修饰治疗:一个未知领域。
Ann Indian Acad Neurol. 2023 Jan-Feb;26(1):3-9. doi: 10.4103/aian.aian_655_22. Epub 2023 Jan 25.
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Subacute sclerosing panencephalitis : diagnosis and drug treatment options.
亚急性硬化性全脑炎:诊断与药物治疗选择。
CNS Drugs. 1997 Feb;7(2):111-20. doi: 10.2165/00023210-199707020-00003.
4
Cell type-specific MxA-mediated inhibition of measles virus transcription in human brain cells.细胞类型特异性MxA介导的对人脑细胞中麻疹病毒转录的抑制作用。
J Virol. 1994 Nov;68(11):6910-7. doi: 10.1128/JVI.68.11.6910-6917.1994.
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Identification of interferon-resistant subpopulations in several strains of measles virus: positive selection by growth of the virus in brain tissue.几种麻疹病毒株中干扰素抗性亚群的鉴定:病毒在脑组织中生长的阳性选择
J Virol. 1990 Apr;64(4):1606-15. doi: 10.1128/JVI.64.4.1606-1615.1990.
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CSF oligoclonal banding pattern changes in a long-surviving SSPE patient treated with alpha-IFN.接受α-干扰素治疗的长期存活的亚急性硬化性全脑炎(SSPE)患者脑脊液寡克隆带型变化
Ital J Neurol Sci. 1991 Apr;12(2):187-91. doi: 10.1007/BF02337032.