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表现为选择性失忆和癫痫样活动的边缘叶脑炎:一例报告

Limbic Encephalitis Manifesting as Selective Amnesia and Seizure-like Activity: A Case Report.

作者信息

Kim So-Yeon, Um Yoo Hyun, Lim Sung Chul, Jeong Jong-Hyun

机构信息

Department of Psychiatry, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Department of Neurology, College of Medicine, The Catholic University of Korea, Seoul, Korea.

出版信息

Clin Psychopharmacol Neurosci. 2018 Feb 28;16(1):109-113. doi: 10.9758/cpn.2018.16.1.109.

Abstract

Limbic encephalitis (LE) is characterized by short-term memory loss, disorientation, agitation, seizures, and histopathological evidence of medial temporal lobe inflammation. Leucine-rich, glioma inactivated 1 (LGI-1) is an auto-antigen associated with LE. We report a 37-year-old male patient with LGI-1-related LE who presented with recurrent episodes of selective amnesia, seizure-like activity, confusion, and personality change. His symptoms were significantly improved with steroid therapy. Thorough differential diagnosis with consideration for autoimmune encephalitis should be in patients with presentation of symptoms, such as memory impairment, personality change and seizure-like activity, especially when other neurological diagnoses are excluded.

摘要

边缘性脑炎(LE)的特征为短期记忆丧失、定向障碍、激越、癫痫发作以及内侧颞叶炎症的组织病理学证据。富含亮氨酸的胶质瘤失活1(LGI-1)是一种与LE相关的自身抗原。我们报告一名37岁男性LGI-1相关性LE患者,其表现为反复出现的选择性失忆、癫痫样活动、意识模糊和人格改变。类固醇治疗后其症状显著改善。对于出现记忆障碍、人格改变和癫痫样活动等症状的患者,尤其是排除其他神经学诊断后,应进行全面的鉴别诊断,考虑自身免疫性脑炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0e/5810455/1bf19a2c4bfa/cpn-16-109f1.jpg

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