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Susac综合征与妊娠:已发表病例综述及患者管理考量

Susac syndrome and pregnancy: a review of published cases and considerations for patient management.

作者信息

Willekens Barbara, Kleffner Ilka

机构信息

Department of Neurology, Antwerp University Hospital, Drie Eikenstraat 655, Edegem, 2650, Belgium.

University Hospital Knappschaftskrankenhaus Bochum, Ruhr University Bochum, Bochum, Germany.

出版信息

Ther Adv Neurol Disord. 2021 Jan 30;14:1756286420981352. doi: 10.1177/1756286420981352. eCollection 2021.

DOI:10.1177/1756286420981352
PMID:33796140
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7970706/
Abstract

Susac syndrome (SuS) is a rare autoimmune endotheliopathy leading to hearing loss, branch retinal artery occlusions and encephalopathy. Young females are more frequently affected than males, making counselling for family planning an important issue. We reviewed published cases on SuS during pregnancy or in the postpartum period, and selected 27 reports describing the details of 33 patients with SuS. Treatment options and implications for pregnancy and breastfeeding are discussed. We propose new areas for research and suggest a management strategy.

摘要

Susac综合征(SuS)是一种罕见的自身免疫性内皮病变,可导致听力丧失、视网膜分支动脉阻塞和脑病。女性比男性更易受影响,因此计划生育咨询成为一个重要问题。我们回顾了孕期或产后Susac综合征的已发表病例,并选取了27篇描述33例Susac综合征患者详细情况的报告。文中讨论了治疗方案以及对妊娠和母乳喂养的影响。我们提出了新的研究领域并建议了一种管理策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbe2/7970706/e561ab023cc9/10.1177_1756286420981352-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbe2/7970706/e561ab023cc9/10.1177_1756286420981352-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbe2/7970706/e561ab023cc9/10.1177_1756286420981352-fig1.jpg

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引用本文的文献

1
Clinical Characterization and Ancillary Tests in Susac Syndrome: A Systematic Review.Susac 综合征的临床特征及辅助检查:系统评价。
Neurol Neuroimmunol Neuroinflamm. 2024 May;11(3):e200209. doi: 10.1212/NXI.0000000000200209. Epub 2024 Feb 16.
2
Cognitive outcomes in Susac syndrome: A 2-year neuropsychological follow-up study.苏萨克综合征的认知结果:一项为期2年的神经心理学随访研究。
Eur J Neurol. 2024 Apr;31(4):e16186. doi: 10.1111/ene.16186. Epub 2024 Feb 2.
3
Clinical characteristics and treatment approaches in patients with Susac syndrome: a scoping review of cases.

本文引用的文献

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Maternal and neonatal outcomes in 80 patients diagnosed with non-Hodgkin lymphoma during pregnancy: results from the International Network of Cancer, Infertility and Pregnancy.80例孕期诊断为非霍奇金淋巴瘤患者的母婴结局:来自国际癌症、不孕与妊娠网络的结果
Br J Haematol. 2021 Apr;193(1):52-62. doi: 10.1111/bjh.17103. Epub 2020 Sep 18.
2
Myasthenia gravis and pregnancy.重症肌无力与妊娠。
Muscle Nerve. 2020 Dec;62(6):664-672. doi: 10.1002/mus.27064. Epub 2020 Sep 28.
3
Increased incidence of Susac syndrome: a case series study.
Susac 综合征患者的临床特征和治疗方法:病例的范围综述。
J Neurol. 2023 Dec;270(12):5719-5730. doi: 10.1007/s00415-023-11936-3. Epub 2023 Sep 5.
4
Clinical Reasoning: A 24-Year-Old Pregnant Woman With Headache and Behavioral Change Progressing to Coma.临床推理:一位 24 岁孕妇,头痛并逐渐出现行为改变和昏迷。
Neurology. 2023 Nov 27;101(22):e2331-e2337. doi: 10.1212/WNL.0000000000207859.
Susac 综合征发病率增加:病例系列研究。
BMC Neurol. 2020 Sep 2;20(1):332. doi: 10.1186/s12883-020-01892-0.
4
Pregnancy without relapse following treated Susac syndrome.经治疗的Susac综合征患者妊娠后无复发
Mult Scler Relat Disord. 2020 Oct;45:102357. doi: 10.1016/j.msard.2020.102357. Epub 2020 Jul 3.
5
Sex hormones secondary players in Susac's syndrome.性激素在Susac综合征中起次要作用。
Mult Scler Relat Disord. 2020 Sep;44:102373. doi: 10.1016/j.msard.2020.102373. Epub 2020 Jul 5.
6
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Mult Scler. 2020 Jul;26(8):887-889. doi: 10.1177/1352458520915814. Epub 2020 Jun 8.
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Exposure to natalizumab during pregnancy and lactation is safe - Commentary.孕期及哺乳期使用那他珠单抗是安全的——评论
Mult Scler. 2020 Jul;26(8):892-893. doi: 10.1177/1352458520928795. Epub 2020 Jun 8.
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Exposure to natalizumab during pregnancy and lactation is safe - No.孕期和哺乳期使用那他珠单抗是安全的——否。
Mult Scler. 2020 Jul;26(8):889-891. doi: 10.1177/1352458520917934. Epub 2020 Jun 8.
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Neurol Neuroimmunol Neuroinflamm. 2020 May 27;7(4). doi: 10.1212/NXI.0000000000000769. Print 2020 Jul.
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