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免疫检查点抑制剂治疗后的面瘫:病例报告、文献复习及临床护理管理。

Facial palsy after administration of immune checkpoint inhibitors: case report, literature review and clinical care management.

机构信息

Medical Oncology Department, Paoli-Calmettes Institute, Marseille, France.

Neurology Department, Assitance Publique Hôpitaux de Marseille, Aix-Marseille University, Marseille, France.

出版信息

Front Immunol. 2024 Mar 22;15:1375497. doi: 10.3389/fimmu.2024.1375497. eCollection 2024.

Abstract

Neurological immune-related adverse events (irAEs) due to immune checkpoint inhibitors (ICI) are rare complications of immunotherapy, particularly dreadful for patients and clinical teams. Indeed, neurological irAEs are potentially severe and their diagnosis require prompt recognition and treatment. Additionally, the spectrum of neurological irAEs is broad, affecting either neuromuscular junction, peripheral or central nervous system. Here, we described the case of a 55-year man with metastatic melanoma, facing a brutal right peripheral cerebral palsy after his third ipilimumab/nivolumab infusion. After the case presentation, we reviewed the literature about this rare complication of immunotherapy, and described its diagnosis work-up and clinical management.

摘要

神经免疫相关不良事件(irAEs)是免疫检查点抑制剂(ICI)治疗的罕见并发症,对患者和临床团队来说尤其可怕。事实上,神经 irAEs 可能很严重,其诊断需要及时识别和治疗。此外,神经 irAEs 的范围很广,影响神经肌肉接头、周围或中枢神经系统。在这里,我们描述了一名 55 岁男性的病例,他患有转移性黑色素瘤,在第三次使用伊匹单抗/纳武单抗输注后出现严重的右侧周围性脑瘫。在病例介绍后,我们回顾了关于这种免疫治疗罕见并发症的文献,并描述了其诊断检查和临床管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41e3/10995231/833161aa2408/fimmu-15-1375497-g001.jpg

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