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自身免疫性边缘叶脑炎:临床放射学特征及诊断挑战综述

Autoimmune Limbic Encephalitis: A Review of Clinicoradiological Features and the Challenges of Diagnosis.

作者信息

Ding Jack B, Dongas John, Hu Kevin, Ding Mark

机构信息

Internal Medicine, Royal Adelaide Hospital, Adelaide, AUS.

Internal Medicine, University of Adelaide, Adelaide, AUS.

出版信息

Cureus. 2021 Aug 28;13(8):e17529. doi: 10.7759/cureus.17529. eCollection 2021 Aug.

DOI:10.7759/cureus.17529
PMID:34603897
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8476324/
Abstract

Limbic encephalitis is an autoimmune cause of encephalitis. In addition to the usual symptoms of encephalitis such as altered consciousness, fever, and focal neurological deficits, limbic encephalitis can present with neuropsychiatric manifestations and seizures. Making a formal diagnosis involves a difficult and prolonged workup phase. The purpose of this review is to help readers delineate limbic encephalitis from other illnesses. This is done by presenting a spectrum of potential organic differential diagnoses and pertinent findings that distinguish them from limbic encephalitis. Instead of presenting a variety of psychiatric differential diagnoses, the authors present a review of psychiatric manifestations known to be associated with limbic encephalitis, as naturally, any psychiatric disorder could be a potential comorbid disease.

摘要

边缘叶脑炎是脑炎的自身免疫性病因。除了脑炎的常见症状,如意识改变、发热和局灶性神经功能缺损外,边缘叶脑炎还可出现神经精神症状和癫痫发作。做出正式诊断需要一个困难且漫长的检查阶段。本综述的目的是帮助读者将边缘叶脑炎与其他疾病区分开来。这通过列出一系列潜在的器质性鉴别诊断以及将它们与边缘叶脑炎区分开来的相关发现来实现。作者没有列出各种精神科鉴别诊断,而是对已知与边缘叶脑炎相关的精神症状进行了综述,因为自然地,任何精神障碍都可能是潜在的共病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71e3/8476324/263b7bc1c59f/cureus-0013-00000017529-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71e3/8476324/40380c4ad437/cureus-0013-00000017529-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71e3/8476324/263b7bc1c59f/cureus-0013-00000017529-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71e3/8476324/40380c4ad437/cureus-0013-00000017529-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71e3/8476324/263b7bc1c59f/cureus-0013-00000017529-i02.jpg

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