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新冠病毒导致的眼震-肌阵挛-共济失调综合征。

Opsoclonus-Myoclonus-Ataxia Syndrome Due to Covid-19.

机构信息

Department of Neurological and Neurocognitive Rehabilitation, Klinik Bavaria Kreischa, An der Wolfsschlucht, 1-2 01731, Kreischa, Germany.

Department of Radiology, Rostock University Medical Center, Schillingallee 35, 18057, Rostock, Germany.

出版信息

Cerebellum. 2024 Jun;23(3):1245-1248. doi: 10.1007/s12311-023-01610-9. Epub 2023 Oct 9.

Abstract

Opsoclonus-myoclonus syndrome (OMS) as a rare neurological encephalopathic entity associated with non-specific infections or cancer processes has been repeatedly described in the setting of SARS-CoV-2 infection. We report a case of a 53-year-old man with SARS-CoV-2 infection, who developed clinical features of opsoclonus-myoclonus ataxia syndrome including cognitive impairments with a prolonged course of disease. Of particular note, cerebrospinal fluid (CSF) analysis revealed the production of myelin oligodendrocyte glycoprotein (MOG) antibodies, suggesting an underlying neuroimmunological mechanism associated with infection with the novel SARS-CoV-2 virus.

摘要

眼-口-肌阵挛综合征(OMS)作为一种与非特异性感染或癌症过程相关的罕见神经脑病实体,已在 SARS-CoV-2 感染的背景下多次被描述。我们报告了一例 53 岁男性 SARS-CoV-2 感染病例,该患者出现眼-口-肌阵挛共济失调综合征的临床特征,包括认知障碍和疾病的延长病程。值得注意的是,脑脊液(CSF)分析显示髓鞘少突胶质细胞糖蛋白(MOG)抗体的产生,提示与新型 SARS-CoV-2 病毒感染相关的潜在神经免疫机制。

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