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中枢神经系统脱髓鞘疾病的诊断与治疗。

Diagnosis and Management of Central Nervous System Demyelinating Disorders.

机构信息

Department of Neurosciences, Unviersity of Montreal, Centre Hospitalier de l'Université de Montréal.

Department of Medicine, Division of Neurology, St. Michael's Hospital, University of Toronto, Toronto, Canada.

出版信息

Neurol Clin. 2022 Feb;40(1):113-131. doi: 10.1016/j.ncl.2021.08.008.

Abstract

The spectrum of demyelinating diseases affecting the central nervous system is broad. Although many have a chronic course, neuroinflammatory conditions often present with acute to subacute onset symptoms requiring hospitalization when severe. This article reviews the acute phase assessment and management of these disorders, with a particular focus on multiple sclerosis, neuromyelitis optica spectrum disorder, myelin oligodendrocyte glycoprotein antibody disorder, and several atypical demyelinating diseases.

摘要

影响中枢神经系统的脱髓鞘疾病谱很广。虽然许多疾病呈慢性病程,但神经炎症性疾病常表现为急性至亚急性发作症状,在严重时需要住院治疗。本文回顾了这些疾病的急性期评估和管理,特别关注多发性硬化、视神经脊髓炎谱系疾病、髓鞘少突胶质细胞糖蛋白抗体疾病和几种非典型脱髓鞘疾病。

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