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抗髓鞘少突胶质细胞糖蛋白抗体:病例系列的磁共振成像结果及文献综述

Anti-myelin oligodendrocyte glycoprotein antibodies: Magnetic resonance imaging findings in a case series and a literature review.

作者信息

Cellina Michaela, Fetoni Vincenza, Ciocca Matteo, Pirovano Marta, Oliva Giancarlo

机构信息

1 Radiology Department, ASST Fatebenefratelli Sacco, Italy.

2 Neurology Department, ASST Fatebenefratelli Sacco, Italy.

出版信息

Neuroradiol J. 2018 Feb;31(1):69-82. doi: 10.1177/1971400917698856. Epub 2017 Apr 5.

Abstract

Myelin oligodendrocyte glycoprotein is a protein exclusively expressed on the surface of oligodendrocytes and myelin in the central nervous system. Antibodies against myelin oligodendrocyte glycoprotein were initially detected in children with demyelinating syndromes, and more recently reported in a broad spectrum of central nervous system demyelinating diseases in adults, including neuromyelitis optica spectrum disorders and bilateral optic neuritis. Patients with myelin oligodendrocyte glycoprotein antibody-associated demyelination appear to have unique clinical and radiological features. To the best of our knowledge a series of Italian patients with optic neuritis and positivity to myelin oligodendrocyte glycoprotein antibodies has not yet been reported and the paper on myelin oligodendrocyte glycoprotein antibodies are more focused on clinical features, diagnosis and outcome than on the radiological appearance, so we want to retrospectively report magnetic resonance imaging features of a group of eight patients, who came to our Ophthalmologic Emergency Department for optic neuritis and were found seropositive for myelin oligodendrocyte glycoprotein antibodies, comparing our data with the findings described in the literature.

摘要

髓鞘少突胶质细胞糖蛋白是一种仅在中枢神经系统的少突胶质细胞和髓鞘表面表达的蛋白质。最初在患有脱髓鞘综合征的儿童中检测到抗髓鞘少突胶质细胞糖蛋白抗体,最近在包括视神经脊髓炎谱系障碍和双侧视神经炎在内的广泛成人中枢神经系统脱髓鞘疾病中也有报道。髓鞘少突胶质细胞糖蛋白抗体相关脱髓鞘患者似乎具有独特的临床和影像学特征。据我们所知,尚未报道过一系列患有视神经炎且髓鞘少突胶质细胞糖蛋白抗体呈阳性的意大利患者,并且关于髓鞘少突胶质细胞糖蛋白抗体的论文更多地关注临床特征、诊断和预后,而非影像学表现,因此我们想回顾性报告一组八名患者的磁共振成像特征,这些患者因视神经炎来到我们的眼科急诊科,且被发现髓鞘少突胶质细胞糖蛋白抗体血清学呈阳性,并将我们的数据与文献中描述的结果进行比较。

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