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[3例大剂量静脉注射免疫球蛋白治疗恶性癫痫患者的病例报告]

[3 case reports of patients with malignant epilepsy treated with high doses of intravenous immunoglobulin].

作者信息

Sterio M, Gebauer E, Vucićević G, Zalisevskij G, Felle D, Kolarov N

出版信息

Med Pregl. 1989;42(9-10):332-4.

PMID:2636331
Abstract

Three patients with malignant epilepsia were presented. They were treated by i.v. immunoglobulin in the dose of 400 mgr/kg/bw at O, 15-day and 3-week intervals. Duration of treatment lasted 5 weeks in one child and 6 months in two children. One child had normal values of IgG2 subclass while two children showed the deficiency of this subclass. In all three children i.v. immunoglobulin therapy led to a remarkable improvement in respect both to the reduction of attacks and EEG. Due to the aggravation observed 6 months after the last dose of i.v. immunoglobulin, the therapy was repeated and led to the improvement in two children. It was pointed out in conclusion that i.v. immunoglobulin had its place in the treatment of malignant epilepsia in children.

摘要

本文报告了3例恶性癫痫患者。他们接受静脉注射免疫球蛋白治疗,剂量为400毫克/千克/体重,分别在第0天、第15天和第3周给药。1例儿童的治疗持续了5周,另外2例儿童的治疗持续了6个月。1例儿童的IgG2亚类值正常,而另外2例儿童表现出该亚类缺乏。在所有3例儿童中,静脉注射免疫球蛋白治疗在减少发作次数和脑电图方面均有显著改善。由于在最后一剂静脉注射免疫球蛋白6个月后观察到病情加重,对2例儿童重复进行了该治疗并取得了改善。最后指出,静脉注射免疫球蛋白在儿童恶性癫痫的治疗中占有一席之地。

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