Newman M P, Blum S, Wong R C W, Scott J G, Prain K, Wilson R J, Gillis D
Department of Immunology, Princess Alexandra Hospital, Queensland, Australia.
Department of Neurology, Princess Alexandra Hospital, Woolloongabba, Queensland, Australia.
Intern Med J. 2016 Feb;46(2):148-57. doi: 10.1111/imj.12974.
Over the past decade, the clinical spectrum of autoimmune encephalitis has expanded with the emergence of several new clinicopathological entities. In particular, autoimmune encephalitis has recently been described in association with antibodies to surface receptors and ion channels on neurological tissues. Greater clinician awareness has resulted in autoimmune encephalitis being increasingly recognised in patients with unexplained neurological and psychiatric symptoms and signs. The clinical spectrum of presentations, as well as our understanding of disease mechanisms and treatment regimens, is rapidly developing. An understanding of these conditions is important to all subspecialties of Internal Medicine, including neurology and clinical immunology, psychiatry, intensive care and rehabilitation medicine. This review provides a contemporary overview of the aetiology, investigations and treatment of the most recently described autoimmune encephalitides.
在过去十年中,随着几种新的临床病理实体的出现,自身免疫性脑炎的临床谱有所扩展。特别是,最近有报道称自身免疫性脑炎与针对神经组织表面受体和离子通道的抗体有关。临床医生对其认识的提高,使得自身免疫性脑炎在有不明神经和精神症状及体征的患者中越来越多地得到识别。临床表现谱以及我们对疾病机制和治疗方案的理解正在迅速发展。了解这些病症对内科的所有亚专业都很重要,包括神经病学和临床免疫学、精神病学、重症监护和康复医学。本综述对最近描述的自身免疫性脑炎的病因、检查和治疗进行了当代概述。