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成人共济失调毛细血管扩张症患者 SARA 与 A-T NEST 临床严重程度评分的相关性。

Correlation Between the SARA and A-T NEST Clinical Severity Scores in Adults with Ataxia-Telangiectasia.

机构信息

School of Clinical Medicine, University of Cambridge, Hills Road, Cambridge, CB2 0SP, UK.

Department of Clinical Neurosciences, University of Cambridge, Cambridge, CB2 2QQ, UK.

出版信息

Cerebellum. 2024 Apr;23(2):455-458. doi: 10.1007/s12311-023-01528-2. Epub 2023 Apr 10.

DOI:10.1007/s12311-023-01528-2
PMID:37036622
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10951025/
Abstract

Ataxia-Telangiectasia (A-T) is an autosomal recessive neurodegenerative disease associated with cerebellar ataxia and extrapyramidal features. A-T has a complex and diverse phenotype with varying rates of disease progression. The development of robust natural history studies and therapeutic trials relies on the accurate recording of phenotype using relevant and validated severity of illness indexes. We compared the commonly used Scale for the Assessment and Rating of Ataxia (SARA) and the disease-specific A-T Neurological Examination Scale Toolkit (A-T NEST), in our adult A-T cohort. We found a strong correlation between A-T NEST and the established SARA score, validating the use of A-T NEST and SARA in capturing the natural history of A-T patients.

摘要

共济失调毛细血管扩张症(A-T)是一种常染色体隐性神经退行性疾病,与小脑共济失调和锥体外系特征有关。A-T 具有复杂多样的表型,疾病进展速度不一。开发稳健的自然病史研究和治疗试验依赖于使用相关和经过验证的疾病严重程度指数准确记录表型。我们在成人 A-T 队列中比较了常用的共济失调评估量表(SARA)和特定于疾病的 A-T 神经科检查工具包(A-T NEST)。我们发现 A-T NEST 与既定的 SARA 评分之间存在很强的相关性,验证了 A-T NEST 和 SARA 在捕捉 A-T 患者自然病史中的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b393/10951025/116c61cc3798/12311_2023_1528_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b393/10951025/116c61cc3798/12311_2023_1528_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b393/10951025/116c61cc3798/12311_2023_1528_Fig1_HTML.jpg

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本文引用的文献

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Quality of life and neurological disability in children and young people with ataxia telangiectasia.儿童和青少年共济失调毛细血管扩张症的生活质量和神经残疾。
Eur J Paediatr Neurol. 2022 Sep;40:34-39. doi: 10.1016/j.ejpn.2022.07.004. Epub 2022 Jul 21.
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The positive short-term effect of dexamethasone on ataxia symptoms in a patient with ataxia-telangiectasia: A case report.地塞米松对共济失调毛细血管扩张症患者共济失调症状的短期积极影响:一例报告。
Clin Case Rep. 2022 May 20;10(5):e05895. doi: 10.1002/ccr3.5895. eCollection 2022 May.
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The natural history of ataxia-telangiectasia (A-T): A systematic review.
共济失调毛细血管扩张症(A-T)的自然病史:系统评价。
PLoS One. 2022 Mar 15;17(3):e0264177. doi: 10.1371/journal.pone.0264177. eCollection 2022.
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The Effect of N-Acetyl-DL-Leucine on Neurological Symptoms in a Patient with Ataxia-Telangiectasia: a Case Study.N-乙酰-DL-亮氨酸对共济失调-毛细血管扩张症患者神经症状的影响:一项病例研究
Cerebellum. 2023 Feb;22(1):96-101. doi: 10.1007/s12311-022-01371-x. Epub 2022 Feb 7.
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Nicotinamide Riboside Improves Ataxia Scores and Immunoglobulin Levels in Ataxia Telangiectasia.烟酰胺核糖苷可改善共济失调毛细血管扩张症的共济失调评分和免疫球蛋白水平。
Mov Disord. 2021 Dec;36(12):2951-2957. doi: 10.1002/mds.28788. Epub 2021 Sep 13.
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Mov Disord. 2021 Feb;36(2):283-297. doi: 10.1002/mds.28313. Epub 2020 Oct 6.
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