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自身免疫性疾病相关脑静脉窦血栓形成的特征与治疗。

Characteristics and Management of Autoimmune Disease-Associated Cerebral Venous Sinus Thrombosis.

机构信息

Department of Neurology, Neuroscience Center, The First Hospital of Jilin University, Jilin University, Changchun, China.

出版信息

Front Immunol. 2021 Jul 22;12:671101. doi: 10.3389/fimmu.2021.671101. eCollection 2021.

Abstract

Cerebral venous sinus thrombosis (CVST) is a central nervous system disease characterised by thrombosis in cerebral venous or dural sinuses. Autoimmune diseases, a series of diseases caused by immune responses to autoantigens, are important causes of CVST. The most common diseases that lead to CVST are Behçet's syndrome, systemic lupus erythematosus, antiphospholipid syndrome, and Sjögren's syndrome. Each of these diseases have different clinical and imaging manifestations and treatment for CVST varies by aetiology. This review summarises the characteristics and the current management strategies for autoimmune disease-associated CVST and emphasises controversial therapeutic strategies to provide informative reference information for diagnosis and treatment. Risk factors of autoimmune antigens should not be neglected when unconventional CVST occurs, and both drugs and interventional therapy need further standardisation and discussion with more prospective clinical studies.

摘要

脑静脉窦血栓形成(CVST)是一种以脑静脉或硬脑膜窦血栓形成为特征的中枢神经系统疾病。自身免疫性疾病是由针对自身抗原的免疫反应引起的一系列疾病,是 CVST 的重要病因。最常见导致 CVST 的疾病是贝赫切特综合征、系统性红斑狼疮、抗磷脂综合征和干燥综合征。这些疾病的每一种都有不同的临床和影像学表现,针对 CVST 的治疗方法也因病因而异。本综述总结了自身免疫性疾病相关 CVST 的特征和当前管理策略,并强调了有争议的治疗策略,为诊断和治疗提供有价值的参考信息。当发生非传统性 CVST 时,不应忽视自身免疫抗原的危险因素,药物和介入治疗需要进一步规范化,并结合更多前瞻性临床研究进行讨论。

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