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MOG 抗体脱髓鞘疾病:产后严重脑桥脑炎和横贯性脊髓炎一例。

MOG-antibody demyelinating diseases: a case of post-partum severe rhombencephalitis and transverse myelitis.

机构信息

Neurology Department, Università del Piemonte Orientale, Azienda Ospedaliera-Universitaria Maggiore della Carità, Novara, Italy.

Neurology Department, Università del Piemonte Orientale, Azienda Ospedaliera-Universitaria Maggiore della Carità, Novara, Italy.

出版信息

Mult Scler Relat Disord. 2018 Apr;21:9-10. doi: 10.1016/j.msard.2018.02.006. Epub 2018 Feb 8.

Abstract

INTRODUCTION

Myelin oligodendrocyte glycoprotein antibodies (MOG-IgG) associated disorders present with a spectrum of clinical pictures including brainstem involvement.

CASE REPORT

A patient with the sudden onset of a post-partum severe rhombencephalitis causing respiratory failure (12 years after a mild transverse myelitis). Despite the aggressive clinical course, she had an impressive recovery after plasmapheresis, and no further relapses on immunosuppression.

CONCLUSION

MOG-IgG disorders could relapse several years after onset and involve brainstem. Good prognosis is possible after treatment.

摘要

简介

少突胶质细胞髓鞘糖蛋白抗体(MOG-IgG)相关疾病具有广泛的临床表现,包括脑干受累。

病例报告

一位产后突发严重脑桥炎导致呼吸衰竭的患者(12 年前曾患有轻度横贯性脊髓炎)。尽管病情进展迅速,但在接受血浆置换治疗后,她恢复良好,且在免疫抑制治疗后无进一步复发。

结论

MOG-IgG 疾病在发病后数年可能复发并累及脑干。经治疗后,预后良好。

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