Kotov A S, Firsov K V, Bunak M S
Moscow Regional Research and Clinical Institute, Moscow, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2017;117(2. Vyp. 2):54-59. doi: 10.17116/jnevro20171172254-59.
Marburg's variant of multiple sclerosis, first described by the Austrian neurologist Otto Marburg in 1906, is a rare demyelinating disease that usually leads to severe disability or death within weeks to months. Our case report describes a young 24-year old woman with Marburg's variant of multiple sclerosis who became totally disabled over a period of some months. Clinical features and MRI-characteristics of two demyelinating diseases: acute disseminated encephalomyelitis (ADEM) and Marburg's variant of multiple sclerosis are discussed. The use of intense immunosuppression in the case described is considered.
马尔堡型多发性硬化症,由奥地利神经学家奥托·马尔堡于1906年首次描述,是一种罕见的脱髓鞘疾病,通常在数周或数月内导致严重残疾或死亡。我们的病例报告描述了一名24岁的患有马尔堡型多发性硬化症的年轻女性,她在几个月的时间里完全致残。文中讨论了两种脱髓鞘疾病——急性播散性脑脊髓炎(ADEM)和马尔堡型多发性硬化症的临床特征及磁共振成像(MRI)特点。文中还考虑了在所描述病例中使用强化免疫抑制疗法的情况。