Suppr超能文献

成人起病的双侧内侧额叶皮质脑炎伴抗髓鞘少突胶质细胞糖蛋白抗体的临床和影像学特征

Clinical and Radiological Features of Adult Onset Bilateral Medial Frontal Cerebral Cortical Encephalitis With Anti-myelin Oligodendrocyte Glycoprotein Antibody.

作者信息

Fujimori Juichi, Nakamura Masashi, Yagihashi Takahito, Nakashima Ichiro

机构信息

Division of Neurology, Tohoku Medical and Pharmaceutical University, Sendai, Japan.

出版信息

Front Neurol. 2020 Dec 16;11:600169. doi: 10.3389/fneur.2020.600169. eCollection 2020.

Abstract

To clarify the clinical and radiological features of adult onset anti-myelin oligodendrocyte glycoprotein (MOG) antibody-associated bilateral medial frontal cerebral cortical encephalitis (BFCCE). We systematically reviewed the literature for patients with anti-MOG antibody-associated BFCCE. Patients who were also positive for other encephalitis-related autoantibodies were excluded from the study. The frequency of several characteristic neurological symptoms and lesion distributions were analyzed. We identified six patients with anti-MOG antibody-associated BFCCE. Among them, 6/6 had headache, 4/6 had fever, 3/6 had seizure, 2/6 had paraparesis, 2/6 had lethargy, and 2/6 had memory disturbance. CSF pleocytosis was observed in 5/6 patients, while CSF myelin basic protein was not elevated in any of the six patients. On brain MRI, 6/6 had bilateral medial frontal cortical lesions, 3/6 had corpus callosum lesions, and 3/6 had leptomeningeal enhancements. Most of the lesions were distributed in the territory of the anterior cerebral artery (ACA). Our results indicate that anti-MOG antibody-associated BFCCE presents with characteristic clinical symptoms and MRI findings, which might reflect lesion formation in the ACA territory.

摘要

为阐明成人起病的抗髓鞘少突胶质细胞糖蛋白(MOG)抗体相关双侧额叶内侧皮质脑炎(BFCCE)的临床和影像学特征。我们系统回顾了抗MOG抗体相关BFCCE患者的文献。其他脑炎相关自身抗体也呈阳性的患者被排除在研究之外。分析了几种特征性神经症状和病变分布的频率。我们确定了6例抗MOG抗体相关BFCCE患者。其中,6/6有头痛,4/6有发热,3/6有癫痫发作,2/6有双下肢轻瘫,2/6有嗜睡,2/6有记忆障碍。5/6患者脑脊液有细胞增多,而6例患者中无一例脑脊液髓鞘碱性蛋白升高。脑MRI检查显示,6/6有双侧额叶内侧皮质病变,3/6有胼胝体病变,3/6有软脑膜强化。大多数病变分布在前脑动脉(ACA)供血区域。我们的结果表明,抗MOG抗体相关BFCCE具有特征性的临床症状和MRI表现,这可能反映了ACA供血区域的病变形成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13fc/7772389/f36d58100629/fneur-11-600169-g0001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验