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视神经脊髓炎患者的脑出血：病例报告及关于可能病理关联的文献综述

Intracerebral Hemorrhage in Patients with Neuromyelitis Optica: Case Report with Literature Review for Possible Pathological Association.

作者信息

Elshony Hosna Saad, Idris Abdelrahman, Al-Ghamdi Abdulaziz, Muddassir Rabia

机构信息

Department of Neurology/Internal Medicine, Security Forces Hospital, Makkah, Saudi Arabia.

出版信息

Case Rep Neurol. 2021 Mar 4;13(1):157-165. doi: 10.1159/000513644. eCollection 2021 Jan-Apr.

DOI:10.1159/000513644
PMID:33790774
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7989829/
Abstract

Neuromyelitis optica (NMO) is an autoimmune demyelinating disorder of the central nervous system which is characterized by attacks of optic neuritis and transverse myelitis. An association between NMO and intracerebral hemorrhage (ICH) has been rarely recognized, having been reported only 3 times before. Here we report on a patient with NMO who eventually developed subarachnoid hemorrhage, in order to emphasize that the association between NMO and ICH is mostly not incidental and that the pathological basis for this association should be investigated thoroughly.

摘要

视神经脊髓炎（NMO）是一种中枢神经系统的自身免疫性脱髓鞘疾病，其特征为视神经炎和横贯性脊髓炎发作。NMO与脑出血（ICH）之间的关联很少被认识到，此前仅报告过3次。在此，我们报告1例最终发生蛛网膜下腔出血的NMO患者，以强调NMO与ICH之间的关联大多并非偶然，应深入研究这种关联的病理基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb7/7989829/381aea8a3aa3/crn-0013-0157-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb7/7989829/9ef1bf5f813e/crn-0013-0157-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb7/7989829/b232151c3d53/crn-0013-0157-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb7/7989829/266fc6d63878/crn-0013-0157-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb7/7989829/dcfbcd135cf3/crn-0013-0157-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb7/7989829/381aea8a3aa3/crn-0013-0157-g05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb7/7989829/9ef1bf5f813e/crn-0013-0157-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb7/7989829/b232151c3d53/crn-0013-0157-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb7/7989829/266fc6d63878/crn-0013-0157-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb7/7989829/dcfbcd135cf3/crn-0013-0157-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbb7/7989829/381aea8a3aa3/crn-0013-0157-g05.jpg

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本文引用的文献

1
Hemorrhagic encephalitis in a patient with neuromyelitis optica: A case report.视神经脊髓炎患者并发出血性脑炎：病例报告。
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Pontine hemorrhage accompanied by neuromyelitis optica spectrum disorder.桥脑出血合并视神经脊髓炎谱系疾病。
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Neuromyelitis Optica Spectrum Disorder with Recurrent Intracranial Hemorrhage.伴复发性颅内出血的视神经脊髓炎谱系障碍
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Association of circulating follicular helper T cells with disease course of NMO spectrum disorders.循环滤泡辅助性T细胞与视神经脊髓炎谱系障碍疾病进程的关联。
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The pathology of an autoimmune astrocytopathy: lessons learned from neuromyelitis optica.自身免疫性星形胶质细胞病的病理学：视神经脊髓炎得到的启示。
Brain Pathol. 2014 Jan;24(1):83-97. doi: 10.1111/bpa.12099.
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Aquaporin 4-specific T cells in neuromyelitis optica exhibit a Th17 bias and recognize Clostridium ABC transporter.视神经脊髓炎中的水通道蛋白 4 特异性 T 细胞表现出 Th17 偏向，并识别梭菌 ABC 转运蛋白。
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Aquaporin 4 and neuromyelitis optica.水通道蛋白 4 与视神经脊髓炎。
Lancet Neurol. 2012 Jun;11(6):535-44. doi: 10.1016/S1474-4422(12)70133-3. Epub 2012 May 16.
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Massive astrocyte destruction in neuromyelitis optica despite natalizumab therapy.视神经脊髓炎尽管接受那他珠单抗治疗仍存在大量星形胶质细胞破坏。
Mult Scler. 2012 Jan;18(1):108-12. doi: 10.1177/1352458511421185. Epub 2011 Aug 25.
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A serological analysis of viral and bacterial infections associated with neuromyelitis optica.视神经脊髓炎相关病毒和细菌感染的血清学分析。
J Neurol Sci. 2011 Jan 15;300(1-2):19-22. doi: 10.1016/j.jns.2010.10.013. Epub 2010 Nov 5.
10
Neuromyelitis optica: a demyelinating disease characterized by acute destruction and regeneration of perivascular astrocytes.视神经脊髓炎：一种脱髓鞘疾病，其特征是血管周围星形胶质细胞的急性破坏和再生。
Mult Scler. 2010 Oct;16(10):1156-72. doi: 10.1177/1352458510382324. Epub 2010 Sep 7.