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与溃疡性结肠炎相关的感音神经性听力损失和癫痫持续状态:是否有足够证据支持免疫相关机制?

Sensorineural hearing loss and status epilepticus associated with ulcerative colitis: Is there enough evidence to support immune-related mechanisms?

作者信息

Yazici Sinem, Benbir Gulcin, Ince Birsen

机构信息

Department of Neurology, Istanbul University, Istanbul, Turkey.

出版信息

J Neurosci Rural Pract. 2015 Jan;6(1):77-9. doi: 10.4103/0976-3147.143205.

Abstract

Ulcerative colitis (UC) is characterized by an inflammatory disorder of the gastrointestinal tract. Immune-mediated extraintestinal manifestations of UC have increasingly attracted attention in the literature recently, for which UC is now considered as a systemic disease. Neurologic involvement associated with UC is probably under-reported because of the unawareness of many physicians, although early recognition and treatment are crucial in preventing major morbidity and sequel. In this case report is presented a patient newly diagnosed as UC, who developed both sensorineural hearing loss and intractable status epilepticus that we suggest to have resulted from immune-mediated mechanisms.

摘要

溃疡性结肠炎(UC)的特征是胃肠道的炎症性疾病。UC的免疫介导的肠外表现最近在文献中越来越受到关注,为此UC现在被认为是一种全身性疾病。尽管早期识别和治疗对于预防严重发病和后遗症至关重要,但由于许多医生未意识到,与UC相关的神经受累可能报告不足。在本病例报告中,介绍了一名新诊断为UC的患者,该患者出现了感音神经性听力损失和难治性癫痫持续状态,我们认为这是由免疫介导机制导致的。

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