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视神经脊髓炎谱系障碍伴随后发性渗透性脱髓鞘综合征的下颌阵挛

Jaw clonus in neuromyelitis optica spectrum disorder with subsequent osmotic demyelination syndrome.

作者信息

Ghosh Ritwik, Roy Devlina, Dubey Souvik, Lahiri Durjoy, Chatterjee Subhankar, Finsterer Josef

机构信息

Department of General Medicine, Burdwan Medical College and Hospital, Burdwan, India.

Department of Neuromedicine, Bangur Institute of Neurosciences, Institute of Post Graduate Medical Education and Research and SSKM Hospital, Kolkata, India.

出版信息

J Family Med Prim Care. 2020 Feb 28;9(2):1209-1211. doi: 10.4103/jfmpc.jfmpc_1117_19. eCollection 2020 Feb.

DOI:10.4103/jfmpc.jfmpc_1117_19
PMID:32318496
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7114005/
Abstract

Jaw clonus, a fascinating, yet uncommon clinical sign, is suggestive of supranuclear lesions of the trigeminal nerve. It has previously been reported in association with amyotrophic lateral sclerosis. Hereby, we report an index case of jaw clonus in a patient of neuromyelitis optica spectrum disorder with subsequent osmotic demyelination syndrome with pseudobulbar palsy due to the involvement of pontine corticobulbar fibres.

摘要

下颌阵挛是一种引人关注但并不常见的临床体征，提示三叉神经的核上性病变。此前曾有报道称其与肌萎缩侧索硬化症相关。在此，我们报告一例视神经脊髓炎谱系障碍患者出现下颌阵挛的索引病例，该患者随后因脑桥皮质延髓纤维受累而发生渗透性脱髓鞘综合征并伴有假性球麻痹。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d502/7114005/a89892748785/JFMPC-9-1209-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d502/7114005/a89892748785/JFMPC-9-1209-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d502/7114005/a89892748785/JFMPC-9-1209-g001.jpg

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本文引用的文献

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Jaw Clonus in an Autopsy Case of Amyotrophic Lateral Sclerosis with Multisystemic Involvement.一例多系统受累的肌萎缩侧索硬化症尸检病例中的下颌阵挛
Mov Disord Clin Pract. 2014 Jul 28;1(3):230-232. doi: 10.1002/mdc3.12072. eCollection 2014 Sep.
2
Jaw Clonus and Limb Fasciculations.下颌阵挛和肢体肌束震颤
N Engl J Med. 2018 Dec 27;379(26):e44. doi: 10.1056/NEJMicm1809249.
3
Osmotic Demyelination Syndrome in an Adolescent with Neuromyelitis Optica.一名患有视神经脊髓炎的青少年的渗透性脱髓鞘综合征
未确诊的强直性脊柱炎病例中的血清阳性视神经脊髓炎：一个神经风湿病学难题
Qatar Med J. 2022 Jul 7;2022(3):29. doi: 10.5339/qmj.2022.29. eCollection 2022.
Int J MS Care. 2018 May-Jun;20(3):142-144. doi: 10.7224/1537-2073.2016-077.
4
Jaw clonus in motor neuron disease: an interesting case and review of literature.运动神经元病中的下颌阵挛：1例有趣病例及文献综述
Neurol Sci. 2018 May;39(5):949-950. doi: 10.1007/s10072-017-3216-y. Epub 2017 Dec 13.
5
International consensus diagnostic criteria for neuromyelitis optica spectrum disorders.视神经脊髓炎谱系障碍国际共识诊断标准
Neurology. 2015 Jul 14;85(2):177-89. doi: 10.1212/WNL.0000000000001729. Epub 2015 Jun 19.
6
Jaw clonus frequency does not support hypothesis of peripheral mechanism of self-re-excitation.下颌阵挛频率不支持自我再兴奋的外周机制假说。
Int J Neurosci. 2015;125(12):947-8. doi: 10.3109/00207454.2014.989322. Epub 2014 Dec 18.
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Rinsho Shinkeigaku. 2014;54(7):556-60. doi: 10.5692/clinicalneurol.54.556.
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