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一名对治疗有反应的抗IgLON5病患者的非典型脑MRI表现。

Atypical brain MRI findings in a patient with treatment responsive anti-IgLON5 disease.

作者信息

Zandiehvakili Moein, Cui Cathy Kexin, Jeffrey Bronte, Chang Florence Ching-Fen, Emerson Jonathan, Conyngham Samuel

机构信息

Department of Radiology, Westmead hospital, Sydney, Australia.

Department of Neurology, Westmead hospital, Sydney, Australia.

出版信息

Radiol Case Rep. 2024 Apr 13;19(7):2613-2616. doi: 10.1016/j.radcr.2024.03.041. eCollection 2024 Jul.

DOI:10.1016/j.radcr.2024.03.041
PMID:38645962
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11026686/
Abstract

Anti-IgLON5 disease is a rare autoimmune neurological condition which was relatively recently described in the literature. This syndrome encompasses a range of clinical manifestations with most cases showing unremarkable findings on brain magnetic resonance imaging (MRI). Here, we report a case of a 61-year-old female patient with unique brain MRI features that, to the best of our knowledge, has not been reported in the literature before. Following treatment including immunotherapy, the patient experienced significant improvement clinically accompanied by radiological improvement on the follow-up imaging.

摘要

抗IgLON5病是一种罕见的自身免疫性神经疾病,在文献中相对较新才被描述。该综合征包括一系列临床表现,大多数病例在脑磁共振成像(MRI)上显示无明显异常。在此,我们报告一例61岁女性患者,其脑MRI具有独特特征,据我们所知,此前文献中尚未有过报道。经过包括免疫治疗在内的治疗后,患者临床症状显著改善,随访影像学检查也显示出放射学上的改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c574/11026686/63a750f7f0d4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c574/11026686/d7893f164bbf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c574/11026686/63a750f7f0d4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c574/11026686/d7893f164bbf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c574/11026686/63a750f7f0d4/gr2.jpg

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本文引用的文献

1
Rare autoimmune encephalitis presenting as fluid-attenuated inversion recovery-hyperintense lesions in anti-Myelin oligodendrocyte glycoprotein-associated encephalitis and seizures accompanied with anti-IgLON5 antibody.罕见的自身免疫性脑炎,在抗髓鞘少突胶质细胞糖蛋白相关脑炎中表现为液体衰减反转恢复序列高信号病变,并伴有抗IgLON5抗体的癫痫发作。
Quant Imaging Med Surg. 2022 Jul;12(7):4007-4012. doi: 10.21037/qims-21-1213.
2
Neuroimaging Findings in a Patient with Anti-IgLON5 Disease: Cerebrospinal Fluid Dynamics Abnormalities.一名抗IgLON5病患者的神经影像学表现:脑脊液动力学异常。
Diagnostics (Basel). 2022 Mar 30;12(4):849. doi: 10.3390/diagnostics12040849.
3
Anti-IgLON5 Disease - The Current State of Knowledge and Further Perspectives.
抗 IgLON5 病——现有知识状况和进一步展望。
Front Immunol. 2022 Mar 1;13:852215. doi: 10.3389/fimmu.2022.852215. eCollection 2022.
4
Anti-IgLON5 disease with distinctive brain MRI findings responding to immunotherapy: A case report.抗 IgLON5 病伴特征性脑 MRI 表现对免疫治疗有反应:病例报告。
Medicine (Baltimore). 2021 Jan 29;100(4):e24384. doi: 10.1097/MD.0000000000024384.
5
Response to immunotherapy in anti-IgLON5 disease: A systematic review.抗 IgLON5 病免疫治疗反应:系统评价。
Acta Neurol Scand. 2020 Apr;141(4):263-270. doi: 10.1111/ane.13207. Epub 2020 Jan 12.
6
Distinctive Magnetic Resonance Imaging Findings in IgLON5 Antibody Disease.IgLON5抗体病的独特磁共振成像表现
JAMA Neurol. 2020 Jan 1;77(1):125-126. doi: 10.1001/jamaneurol.2019.3638.
7
IgLON5-Associated Encephalitis With Atypical Brain Magnetic Resonance Imaging and Cerebrospinal Fluid Changes.伴有非典型脑磁共振成像及脑脊液改变的IgLON5相关脑炎
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8
IgLON5 antibody: Neurological accompaniments and outcomes in 20 patients.IgLON5抗体:20例患者的神经学伴随症状及转归
Neurol Neuroimmunol Neuroinflamm. 2017 Jul 18;4(5):e385. doi: 10.1212/NXI.0000000000000385. eCollection 2017 Sep.
9
Clinical manifestations of the anti-IgLON5 disease.抗IgLON5疾病的临床表现。
Neurology. 2017 May 2;88(18):1736-1743. doi: 10.1212/WNL.0000000000003887. Epub 2017 Apr 5.
10
Neuropathological criteria of anti-IgLON5-related tauopathy.抗IgLON5相关tau蛋白病的神经病理学标准。
Acta Neuropathol. 2016 Oct;132(4):531-43. doi: 10.1007/s00401-016-1591-8. Epub 2016 Jun 29.