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异基因造血干细胞移植后的癫痫发作

Epileptic Seizures After Allogeneic Hematopoietic Stem Cell Transplantation.

作者信息

Wang Zhuo, Zhao Munan, Gao Sujun

机构信息

Department of Hematology, The First Hospital of Jilin University, Changchun, China.

Department of Oncology, The First Hospital of Jilin University, Changchun, China.

出版信息

Front Neurol. 2021 Jul 16;12:675756. doi: 10.3389/fneur.2021.675756. eCollection 2021.

Abstract

Technique in allogeneic hematopoietic stem cell transplantation has greatly advanced over the past decades, which has led to an increase in the number of patients receiving transplantation, but the complex procedure places these transplant recipients at high risk of a large spectrum of complications including neurologic involvement. As a common manifestation of neurological disorders, epileptic seizures after transplantation have been of great concern to clinicians because it seriously affects the survival rate and living quality of those recipients. The aim of this review is to elucidate the incidence of seizures after allogeneic hematopoietic stem cell transplantation, and to further summarize in detail its etiologies, possible mechanisms, clinical manifestations, therapeutic schedule, and prognosis, hoping to improve doctors' understandings of concurrent seizures following transplantation, so they can prevent, process, and eventually improve the survival and outlook for patients in a timely manner and correctly.

摘要

在过去几十年中,异基因造血干细胞移植技术有了很大进展,这使得接受移植的患者数量有所增加,但该复杂程序使这些移植受者面临包括神经系统受累在内的一系列并发症的高风险。作为神经系统疾病的常见表现,移植后癫痫发作一直是临床医生非常关注的问题,因为它严重影响这些受者的生存率和生活质量。这篇综述的目的是阐明异基因造血干细胞移植后癫痫发作的发生率,并进一步详细总结其病因、可能机制、临床表现、治疗方案及预后,希望能提高医生对移植后并发癫痫发作的认识,从而能够及时、正确地预防、处理并最终改善患者的生存及前景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5674/8322618/1c97423fb9d7/fneur-12-675756-g0001.jpg

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