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髓鞘少突胶质细胞糖蛋白抗体病的放射学特征。

Radiological characteristics of myelin oligodendrocyte glycoprotein antibody disease.

机构信息

Department of Neurology, University of Alexandria, Alexandria, Egypt; Department of Neurology, Johns Hopkins University, Baltimore, MD, USA.

Department of Radiology, Johns Hopkins University, Baltimore, MD, USA.

出版信息

Mult Scler Relat Disord. 2019 Apr;29:15-22. doi: 10.1016/j.msard.2019.01.021. Epub 2019 Jan 10.

DOI:10.1016/j.msard.2019.01.021
PMID:30658259
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6431795/
Abstract

BACKGROUND

MOG antibody disease is an autoimmune disease of the central nervous system (CNS) characterized by the presence of a serological antibody against myelin oligodendrocyte glycoprotein (MOG). MRI is instrumental in distinguishing neuromyelitis optica spectrum disorder (NMOSD) from multiple sclerosis (MS), but MRI features of MOG disease appear to overlap with NMOSD and MS.

OBJECTIVES

In this study we aim to characterize the radiological features of MOG antibody disease and compare the findings with those previously described.

METHODS

This is a retrospective study of 26 MOG positive patients. We aim to describe their brain, spinal and orbital MRI features and compare our findings with those previously reported in the literature.

RESULTS

The majority of the abnormal findings was located on orbital MRIs, with more involvement of the anterior structures and bilateral involvement of the optic nerves. Brain abnormalities were distinct from both NMOSD and MS lesions. Spinal cord was the least affected.

CONCLUSIONS

This is a dedicated radiological study aiming to characterize the features of MOG antibody disease which might aid in the proper investigation of cases presenting with acquired demyelinating disorders.

摘要

背景

MOG 抗体病是一种中枢神经系统(CNS)自身免疫性疾病,其特征是存在针对髓鞘少突胶质细胞糖蛋白(MOG)的血清抗体。MRI 有助于将视神经脊髓炎谱系疾病(NMOSD)与多发性硬化(MS)区分开来,但 MOG 病的 MRI 特征似乎与 NMOSD 和 MS 重叠。

目的

本研究旨在描述 MOG 抗体病的影像学特征,并与以往描述的特征进行比较。

方法

这是一项回顾性研究,共纳入 26 例 MOG 阳性患者。我们旨在描述他们的脑、脊髓和眼眶 MRI 特征,并将我们的发现与文献中以前报道的结果进行比较。

结果

大多数异常发现位于眼眶 MRI 上,前结构受累更多,视神经双侧受累。脑异常与 NMOSD 和 MS 病变明显不同。脊髓受累最少。

结论

这是一项专门的影像学研究,旨在描述 MOG 抗体病的特征,这可能有助于对表现为获得性脱髓鞘疾病的病例进行适当的检查。

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The influence of MOGAD on diagnosis of multiple sclerosis using MRI.MOGAD 对 MRI 诊断多发性硬化症的影响。

本文引用的文献

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Diagnosis and Treatment of NMO Spectrum Disorder and MOG-Encephalomyelitis.视神经脊髓炎谱系障碍和髓鞘少突胶质细胞糖蛋白脑病的诊断与治疗
Front Neurol. 2018 Oct 23;9:888. doi: 10.3389/fneur.2018.00888. eCollection 2018.
2
MOG antibody disease: A review of MOG antibody seropositive neuromyelitis optica spectrum disorder.MOG 抗体病:MOG 抗体阳性视神经脊髓炎谱系疾病概述。
Mult Scler Relat Disord. 2018 Oct;25:66-72. doi: 10.1016/j.msard.2018.07.025. Epub 2018 Jul 24.
3
Clinical spectrum and prognostic value of CNS MOG autoimmunity in adults: The MOGADOR study.
Nat Rev Neurol. 2024 Oct;20(10):620-635. doi: 10.1038/s41582-024-01005-2. Epub 2024 Sep 3.
4
Assessment of international MOGAD diagnostic criteria in patients with overlapping MOG-associated disease and multiple sclerosis phenotypes.评估国际 MOGAD 诊断标准在重叠性 MOG 相关疾病和多发性硬化表型患者中的应用。
J Neurol. 2024 Sep;271(9):6160-6171. doi: 10.1007/s00415-024-12585-w. Epub 2024 Jul 27.
5
MOG antibody-associated optic neuritis.MOG 抗体相关性视神经炎。
Eye (Lond). 2024 Aug;38(12):2289-2301. doi: 10.1038/s41433-024-03108-y. Epub 2024 May 23.
6
Clinical and Imaging Findings in Children with Myelin Oligodendrocyte Glycoprotein Antibody Associated Disease (MOGAD): From Presentation to Relapse.髓鞘少突胶质细胞糖蛋白抗体相关疾病(MOGAD)患儿的临床和影像学表现:从发病到复发。
AJNR Am J Neuroradiol. 2024 Feb 7;45(2):229-235. doi: 10.3174/ajnr.A8089.
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Pediatric myelin oligodendrocyte glycoprotein antibody-associated disease in southern China: analysis of 93 cases.中国南方儿童髓鞘少突胶质细胞糖蛋白抗体相关性疾病:93 例分析。
Front Immunol. 2023 Jun 2;14:1162647. doi: 10.3389/fimmu.2023.1162647. eCollection 2023.
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A Case of MOGAD Complicated With Cerebral Vasculitis: Case Report and Literature Review.1例伴有脑血管炎的MOGAD:病例报告及文献复习
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成人中枢神经系统 MOG 自身免疫的临床谱和预后价值:MOGADOR 研究。
Neurology. 2018 May 22;90(21):e1858-e1869. doi: 10.1212/WNL.0000000000005560. Epub 2018 Apr 25.
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Dev Med Child Neurol. 2018 Apr;60(4):417-423. doi: 10.1111/dmcn.13649. Epub 2017 Dec 30.
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Seizures and Encephalitis in Myelin Oligodendrocyte Glycoprotein IgG Disease vs Aquaporin 4 IgG Disease.髓鞘少突胶质细胞糖蛋白 IgG 疾病与水通道蛋白 4 IgG 疾病相关的癫痫发作和脑炎。
JAMA Neurol. 2018 Jan 1;75(1):65-71. doi: 10.1001/jamaneurol.2017.3196.
8
Clinical spectrum and IgG subclass analysis of anti-myelin oligodendrocyte glycoprotein antibody-associated syndromes: a multicenter study.抗髓鞘少突胶质细胞糖蛋白抗体相关综合征的临床谱及 IgG 亚类分析:一项多中心研究。
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9
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Neurology. 2017 Aug 29;89(9):900-908. doi: 10.1212/WNL.0000000000004312. Epub 2017 Aug 2.
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