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抗髓鞘少突胶质细胞糖蛋白抗体相关脑脊髓炎后的脱髓鞘:病例报告。

Anti-MOG antibodies associated demyelination following encephalomeningitis: Case report.

机构信息

Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan, Hubei 430030, China.

Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, 1095 Jiefang Avenue, Wuhan, Hubei 430030, China.

出版信息

J Neuroimmunol. 2021 Apr 15;353:577519. doi: 10.1016/j.jneuroim.2021.577519. Epub 2021 Feb 10.

Abstract

Myelin oligodendrocyte glycoprotein (MOG) antibodies have been found in a broad range of demyelination diseases. In the present study, we reported three cases of patients with anti-MOG antibodies associated disorders (MOG-ADs) who initially presented as intracranial infection like encephalomeningitis with no evidence of demyelination injury, but were subsequently found the expression of MOG antibodies and other demyelination presentations. Our findings suggested that MOG-ADs can start as an intracranial infection like prodromal symptoms prior to the lesions of optic nerve, spinal cord, and white matter. Therefore, clinicians should be cautious of MOG-ADs in cases of encephalomeningitis even without demyelination injury.

摘要

髓鞘少突胶质细胞糖蛋白(MOG)抗体已在广泛的脱髓鞘疾病中被发现。在本研究中,我们报告了三例抗 MOG 抗体相关疾病(MOG-AD)患者,他们最初表现为无脱髓鞘损伤证据的颅内感染样脑炎脑膜脑炎,但随后发现 MOG 抗体和其他脱髓鞘表现。我们的研究结果表明,MOG-AD 可在视神经、脊髓和白质病变之前以颅内感染样前驱症状开始。因此,临床医生在没有脱髓鞘损伤的情况下,对于脑炎脑膜脑炎病例,应警惕 MOG-AD。

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