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一名11岁患有髓鞘少突胶质细胞糖蛋白抗体的女性在一年内表现出多种中枢神经系统疾病的表型

[An 11 year old woman with myelin-oligodendrocyte glycoprotein antibody showing various phenotypes of central nervous system disorders in one year].

作者信息

Oshibe Namiko, Takeshita Yukio, Takahashi Shiori, Oishi Mariko, Sano Yasuteru, Kanda Takashi

机构信息

Department of Clinical Neuroscience and Neurology, Yamaguchi University Graduate School of Medicine.

出版信息

Rinsho Shinkeigaku. 2022 Mar 29;62(3):211-216. doi: 10.5692/clinicalneurol.cn-001685. Epub 2022 Mar 25.

Abstract

An 11-year-old woman with myelin-oligodendrocyte glycoprotein (MOG) antibody developed cortical encephalitis twice, followed by acute disseminated encephalomyelitis (ADEM) and optic neuritis in one year. Although optic neuritis was refractory after corticosteroid therapy, plasma exchange was effective and complete remission was achieved. We considered that episodes of cortical encephalitis, ADEM and optic neuritis occurred in the present patient can be included in MOG IgG-associated disorders. Also, we recommend plasma exchange for refractory MOG IgG-associated optic neuritis, even in pediatric patient.

摘要

一名11岁患有髓鞘少突胶质细胞糖蛋白(MOG)抗体的女性两次发生皮质脑炎,随后在一年内出现急性播散性脑脊髓炎(ADEM)和视神经炎。尽管皮质类固醇治疗后视神经炎难治,但血浆置换有效并实现了完全缓解。我们认为该患者发生的皮质脑炎、ADEM和视神经炎发作可纳入MOG IgG相关疾病。此外,我们建议即使是儿科患者,对于难治性MOG IgG相关视神经炎也应进行血浆置换。

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