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播散性急性脑脊髓炎发病机制与治疗的深入探讨——综述

An Insight into Disseminated Acute Encephalomyelitis Pathogenesis and Treatment-A Review.

作者信息

Nooreen Zulfa, Summayya Fariha, Wal Pranay, Wal Ankita, Rai Awani Kumar, Tandon Sudeep

机构信息

PSIT-Pranveer Singh Institute of Technology (Pharmacy), Bhauti Kanpur Uttar Pradesh -209305, India.

Department of Microbiology, Integral Informatic and Research Center-1 (IIRC-1) Intergral University Lucknow Uttar Pradesh- 226026, India.

出版信息

Curr Aging Sci. 2025;18(1):1-13. doi: 10.2174/0118746098294208240429091631.

Abstract

BACKGROUND

Acute disseminated encephalomyelitis (ADEM) is a neural and immunerelated disorder that occurs when the cerebrospinal system is damaged by extensive swelling. Although manifestation is possible regardless of age, adolescents have a greater probability. The purpose of the present manuscript is to provide recent advancements and enhance knowledge of the disease.

METHOD

The literature search on etiology, pathophysiology, diagnosis and treatment was carried out using the online databases of SciFinder, Medline, Pubmed, GoogleScholar, Scopus, etc. Result: Although the cause of ADEM remains unclear, it is believed to be caused by inflammation in those with a genetic sensitivity to environmental stimulation. When people have altered levels of awareness or multifocal neurological abnormalities, ADEM is a possibility as a diagnosis. The diagnosis of ADEM is dependent on a combination of clinical and radiologic symptoms, whereas the exclusion of illnesses mimics ADEM; there is no one test that can establish the diagnosis. The inflammation in a child's brain and spinal cord is treated with medication. Prednisone is occasionally given to youngsters for a brief amount of time.

CONCLUSION

Most children with ADEM improve with high doses of methylprednisolone. Cyclophosphamide is needed by individuals with hypothermia. Most investigations show that 50%- 75% of individuals completely recover between the first and sixth month of their condition.

摘要

背景

急性播散性脑脊髓炎(ADEM)是一种神经与免疫相关的疾病,当脑脊髓系统因广泛肿胀而受损时发病。尽管任何年龄都可能出现症状,但青少年患病概率更高。本文旨在介绍该疾病的最新进展并增进对其的了解。

方法

利用SciFinder、Medline、Pubmed、GoogleScholar、Scopus等在线数据库,对病因、病理生理学、诊断和治疗进行文献检索。

结果

尽管ADEM的病因尚不清楚,但一般认为是由对环境刺激具有遗传易感性的个体发生炎症所致。当人们出现意识水平改变或多灶性神经异常时,有可能被诊断为ADEM。ADEM的诊断依赖于临床症状和放射学症状的综合判断,同时需要排除类似ADEM的疾病;没有单一的检查能够确诊。儿童脑和脊髓的炎症通过药物治疗。偶尔会给青少年短期使用泼尼松。

结论

大多数患ADEM的儿童使用大剂量甲泼尼龙后病情会有所改善。体温过低的患者需要使用环磷酰胺。大多数研究表明,50% - 75%的患者在发病后的第一个月至第六个月之间完全康复。

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