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病例报告:托洛萨-亨特综合征——是否扩展了视神经脊髓炎谱系障碍的表型?

Case report: Tolosa-Hunt syndrome-expanding the neuromyelitis optica spectrum disorder phenotype?

作者信息

Park Soo-Hyun, Jang Soo-Im, Lee Eun-Ja, Kim Nam-Hee

机构信息

Department of Neurology, Soon Chunhyang University Hospital, Seoul, Republic of Korea.

Department of Neurology, Dongguk University Ilsan Hospital, Goyang, Republic of Korea.

出版信息

Front Neurol. 2024 Feb 14;15:1326867. doi: 10.3389/fneur.2024.1326867. eCollection 2024.

DOI:10.3389/fneur.2024.1326867
PMID:38419701
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10899484/
Abstract

Neuromyelitis optica spectrum disorder (NMOSD) is an autoimmune astrocytopathy caused by the autoantibody of aquaporin-4 (AQP4). Herein, we report a case of Tolosa-Hunt syndrome presenting with abducens palsy and AQP4 antibodies. This was a rare case of AQP4-immunoglobulin G seropositivity in a patient with Tolosa-Hunt syndrome. Our findings may expand the clinical phenotype of NMOSD and indicate that clinicians should consider testing for AQP4 antibodies in patients with Tolosa-Hunt syndrome.

摘要

视神经脊髓炎谱系障碍(NMOSD)是一种由水通道蛋白4(AQP4)自身抗体引起的自身免疫性星形细胞病。在此,我们报告一例表现为外展神经麻痹且伴有AQP4抗体的托洛萨-亨特综合征病例。这是一例托洛萨-亨特综合征患者中罕见的AQP4免疫球蛋白G血清阳性病例。我们的发现可能会扩展NMOSD的临床表型,并表明临床医生应考虑对托洛萨-亨特综合征患者进行AQP4抗体检测。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03e9/10899484/198c5e25c727/fneur-15-1326867-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03e9/10899484/9a654e383d8a/fneur-15-1326867-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03e9/10899484/198c5e25c727/fneur-15-1326867-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03e9/10899484/9a654e383d8a/fneur-15-1326867-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03e9/10899484/198c5e25c727/fneur-15-1326867-g002.jpg

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J Neurol. 2023 Jul;270(7):3341-3368. doi: 10.1007/s00415-023-11634-0. Epub 2023 Apr 6.
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