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抗髓鞘少突胶质细胞糖蛋白相关脱髓鞘疾病:一枚硬币的两面。

Anti-MOG-associated demyelinating disorders: two sides of the same coin.

机构信息

Multiple Sclerosis Center, "A. Cardarelli" Hospital, Naples, Italy.

Neurological Clinic and Stroke Unit, "A. Cardarelli" Hospital, Naples, Italy.

出版信息

Neurol Sci. 2021 Apr;42(4):1531-1534. doi: 10.1007/s10072-020-04892-7. Epub 2020 Nov 14.

DOI:10.1007/s10072-020-04892-7
PMID:33190197
Abstract

BACKGROUND

Anti-myelin oligodendrocyte glycoprotein antibody-associated disorders (MOGAD) are new emerging diseases with heterogeneous course, treatment, response, and prognosis.

CASE REPORT

We herein present 2 cases with antibodies to MOG, one with a cerebellar/brainstem monophasic syndrome which partially improved after treatment, and the other with an optic neuritis onset then relapsed with cortical encephalitis and presented a subsequent complete recovery. We further discuss elements possibly associated with disease heterogeneity and influencing treatment choices.

CONCLUSIONS

MOGAD is an extremely variable disease which can relapse and accumulate disability over time. An early diagnosis and correct timely treatment is fundamental to improve clinical outcome.

摘要

背景

抗髓鞘少突胶质细胞糖蛋白抗体相关疾病(MOGAD)是一种新出现的具有不同病程、治疗、反应和预后的疾病。

病例报告

本文介绍了 2 例抗 MOG 抗体患者,1 例表现为小脑/脑干单相综合征,治疗后部分改善,另 1 例表现为视神经炎,随后复发为皮质脑炎,随后完全恢复。我们进一步讨论了可能与疾病异质性和影响治疗选择相关的因素。

结论

MOGAD 是一种极其多变的疾病,随着时间的推移可能会复发并累积残疾。早期诊断和正确及时的治疗是改善临床结局的关键。

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Unilateral cortical FLAIR-hyperintense Lesions in Anti-MOG-associated Encephalitis with Seizures (FLAMES): characterization of a distinct clinico-radiographic syndrome.抗髓鞘少突胶质细胞糖蛋白抗体相关脑炎伴发癫痫的单侧皮质 FLAIR 高信号病变(FLAMES):一种独特的临床-影像学综合征的特征。
J Neurol. 2019 Oct;266(10):2481-2487. doi: 10.1007/s00415-019-09440-8. Epub 2019 Jun 26.
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Neurofilament light chain serum levels reflect disease severity in MOG-Ab associated disorders.神经丝轻链血清水平反映了与MOG抗体相关疾病的疾病严重程度。
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Ayurvedic management of neurological deficits post COVID-19 vaccination - A report of two cases.
新冠疫苗接种后神经功能缺损的阿育吠陀疗法——两例报告
J Ayurveda Integr Med. 2023 May-Jun;14(3):100737. doi: 10.1016/j.jaim.2023.100737. Epub 2023 Jun 8.
4
Meningo-cortical manifestations of myelin oligodendrocyte glycoprotein antibody-associated disease: Review of a novel clinico-radiographic spectrum.髓鞘少突胶质细胞糖蛋白抗体相关疾病的脑膜-皮质表现:一种新型临床-影像学谱的综述
Front Neurol. 2022 Oct 20;13:1044642. doi: 10.3389/fneur.2022.1044642. eCollection 2022.
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Myelin Oligodendrocyte Glycoprotein Antibody Associated Cerebral Cortical Encephalitis: Case Reports and Review of Literature.髓鞘少突胶质细胞糖蛋白抗体相关的大脑皮质脑炎:病例报告及文献综述
Front Hum Neurosci. 2022 Jan 3;15:782490. doi: 10.3389/fnhum.2021.782490. eCollection 2021.
Radiological characteristics of myelin oligodendrocyte glycoprotein antibody disease.
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Mult Scler Relat Disord. 2019 Apr;29:15-22. doi: 10.1016/j.msard.2019.01.021. Epub 2019 Jan 10.
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Am J Ophthalmol. 2018 Nov;195:8-15. doi: 10.1016/j.ajo.2018.07.020. Epub 2018 Jul 26.
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JAMA Neurol. 2018 Nov 1;75(11):1355-1363. doi: 10.1001/jamaneurol.2018.1814.
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J Neuroinflammation. 2018 May 3;15(1):134. doi: 10.1186/s12974-018-1144-2.
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