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新型冠状病毒肺炎感染中的自身免疫性脑炎:我们的经验及文献系统综述

Autoimmune Encephalitis in COVID-19 Infection: Our Experience and Systematic Review of the Literature.

作者信息

Stoian Adina, Stoian Mircea, Bajko Zoltan, Maier Smaranda, Andone Sebastian, Cioflinc Roxana Adriana, Motataianu Anca, Barcutean Laura, Balasa Rodica

机构信息

Department of Pathophysiology, George Emil Palade University of Medicine, Pharmacy, Sciences and Technology Targu Mures, 540136 Targu Mures, Romania.

Ist Neurology Clinic, Mures County Clinical Emergency Hospital, 540136 Targu Mures, Romania.

出版信息

Biomedicines. 2022 Mar 25;10(4):774. doi: 10.3390/biomedicines10040774.

Abstract

The neurologic complications of COVID-19 infection are frequent in hospitalized patients; a high percentage of them present neurologic manifestations at some point during the course of their disease. Headache, muscle pain, encephalopathy and dizziness are among the most common complications. Encephalitis is an inflammatory condition with many etiologies. There are several forms of encephalitis associated with antibodies against intracellular neuronal proteins, cell surfaces or synaptic proteins, referred to as autoimmune encephalitis. Several case reports published in the literature document autoimmune encephalitis cases triggered by COVID-19 infection. Our paper first presents our experience in this issue and then systematically reviews the literature on autoimmune encephalitis that developed in the background of SARS-CoV-2 infections and also discusses the possible pathophysiological mechanisms of auto-immune-mediated damage to the nervous system. This review contributes to improve the management and prognosis of COVID-19-related autoimmune encephalitis.

摘要

新型冠状病毒肺炎(COVID-19)感染的神经系统并发症在住院患者中很常见;其中很大一部分患者在病程的某个阶段会出现神经系统表现。头痛、肌肉疼痛、脑病和头晕是最常见的并发症。脑炎是一种病因多样的炎症性疾病。有几种形式的脑炎与针对细胞内神经元蛋白、细胞表面或突触蛋白的抗体相关,称为自身免疫性脑炎。文献中发表的几例病例报告记录了由COVID-19感染引发的自身免疫性脑炎病例。我们的论文首先介绍了我们在这个问题上的经验,然后系统地回顾了在严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染背景下发生的自身免疫性脑炎的文献,并讨论了自身免疫介导的神经系统损伤的可能病理生理机制。这篇综述有助于改善与COVID-19相关的自身免疫性脑炎的管理和预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/263a/9024859/fd6635537284/biomedicines-10-00774-g001.jpg

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