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谷氨酸脱羧酶抗体阳性的音乐性反射性癫痫发作:病例报告。

Musicogenic reflex seizure with positive antiglutamic decarboxylase antibody: A case report.

机构信息

Department of Adult Neurology, National Neuroscience Institute, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia.

Department of Pediatric Neurology, National Neuroscience Institute, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia.

出版信息

Epilepsia Open. 2021 Sep;6(3):607-610. doi: 10.1002/epi4.12518. Epub 2021 Jul 21.

Abstract

The association of musicogenic epilepsy (ME) with antibodies against glutamic decarboxylase (GAD) supports autoimmune workups for these patients. No appropriate treatment has been established for ME; therefore, immunotherapy should be considered for patients who become drug-resistant. The connection between neurological manifestations and antibodies against GAD, a rate-limiting enzyme that helps create the inhibitory neurotransmitter gamma-aminobutyric acid, has been well established. Furthermore, a strong correlation has been found between ME and the temporal lobe. However, its connection with anti-GAD antibodies is still unclear. This paper reports on a 50-year-old right-handed female who has had ME symptoms for 14 years and been found to be anti-GAD antibody-positive. Therefore, we will elaborate on the relation between ME and anti-GAD antibodies.

摘要

音乐性癫痫(ME)与谷氨酸脱羧酶(GAD)抗体的关联支持对这些患者进行自身免疫检查。目前尚无针对 ME 的适当治疗方法;因此,对于耐药患者应考虑免疫治疗。神经学表现与 GAD 抗体之间的联系已得到充分证实,GAD 是一种限速酶,有助于产生抑制性神经递质γ-氨基丁酸。此外,ME 与颞叶之间存在很强的相关性。然而,它与抗 GAD 抗体之间的联系尚不清楚。本文报告了一例 50 岁的右利手女性患者,她患有 ME 症状 14 年,且被发现抗 GAD 抗体阳性。因此,我们将详细阐述 ME 与抗 GAD 抗体之间的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff62/8408607/aa61bf40d4b8/EPI4-6-607-g001.jpg

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