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[自身免疫性脑炎的临床现象学]

[Clinical Phenomenology of Autoimmune Encephalitis].

作者信息

Holle J F, Jessen F, Kuhn J

机构信息

Klinik und Poliklinik für Psychiatrie und Psychotherapie, Universitätsklinikum Köln.

出版信息

Fortschr Neurol Psychiatr. 2016 May;84(5):271-80. doi: 10.1055/s-0042-104194. Epub 2016 Jun 14.

Abstract

Antibody-associated disorders of the central nervous system constitute a heterogeneous group of disorders that can be roughly divided into two categories: Classic paraneoplastic syndromes associated with so-called well-characterized antibodies (paraneoplastic neurological disorders, PND) and autoimmune disorders with antibodies to membrane-bound or synaptic antigens (autoimmune encephalitis, AE). The discovery of autoimmune encephalitis has led to a paradigm shift in diagnosis and therapy as well as a reclassification of some neuropsychiatric syndromes that were previously classified as idiopathic or simply covered with descriptive terms.In this review article, especially clinical aspects of autoimmune encephalitis will be discussed, as there has been a rapid increase in knowledge in this regard within the past decade; increasingly overlap syndromes and associations with other disease entities have been detected. In addition to general aspects, characteristics of anti-NMDAR-, anti-LGI1-, anti-GABAA and GABABR, anti-AMPAR-, anti-CASPR2-, anti-mGluR, anti-GlycinR-, anti-GAD, anti- DPPX- and anti-D2 R encephalitis and the anti-IgLON5 encephalopathy will be presented.

摘要

中枢神经系统抗体相关疾病是一组异质性疾病,大致可分为两类:与所谓特征明确的抗体相关的经典副肿瘤综合征(副肿瘤性神经系统疾病,PND)和针对膜结合或突触抗原的自身抗体相关的自身免疫性疾病(自身免疫性脑炎,AE)。自身免疫性脑炎的发现导致了诊断和治疗方面的范式转变,以及一些以前被归类为特发性或仅用描述性术语涵盖的神经精神综合征的重新分类。在这篇综述文章中,将特别讨论自身免疫性脑炎的临床方面,因为在过去十年中这方面的知识迅速增加;越来越多的重叠综合征以及与其他疾病实体的关联已被发现。除了一般方面,还将介绍抗NMDAR、抗LGI1、抗GABAA和GABABR、抗AMPAR、抗CASPR2、抗mGluR、抗GlycinR、抗GAD、抗DPPX和抗D2R脑炎以及抗IgLON5脑病的特征。

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[Clinical Phenomenology of Autoimmune Encephalitis].[自身免疫性脑炎的临床现象学]
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