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1例抗GD3抗体阳性伴锥体束症状的不完全性米勒-费希尔综合征病例报告

A Case Report of Anti-GD3 Antibody Positive Incomplete Miller-Fisher Syndrome With Pyramidal Tract Symptoms.

作者信息

Li Zhaojiao, Li Jun, Liu Lingchun, Chen Jiajie, Mao Xueye, Yang Jing, Yang Shu, Li Haixia, Li Shan, Meng Qiang

机构信息

Department of Neurology The First People's Hospital of Yunnan Province, The Affiliated Hospital of Kunming University of Science and Technology Kunming China.

出版信息

Clin Case Rep. 2025 Jan 31;13(2):e70144. doi: 10.1002/ccr3.70144. eCollection 2025 Feb.

Abstract

Incomplete Miller-Fisher syndrome (MFS) is a rare autoimmune disorder affecting the nervous system. In contrast to classical MFS, its clinical manifestations are often atypical and may be characterized by the absence of certain features, such as extraocular muscle paralysis and the loss of tendon reflexes. The presence of anti-GD3 antibodies is infrequently observed in these patients. This case report describes a patient diagnosed with incomplete MFS who exhibited positive anti-GD3 antibody results and presented with pyramidal tract signs. This suggests that anti-GD3 antibodies may play a role in the pathogenesis of some atypical forms of MFS, warranting attention in clinical practice.

摘要

不完全性米勒-费希尔综合征(MFS)是一种罕见的影响神经系统的自身免疫性疾病。与经典MFS不同,其临床表现通常不典型,可能表现为某些特征的缺失,如眼外肌麻痹和腱反射消失。这些患者中很少观察到抗GD3抗体的存在。本病例报告描述了一名被诊断为不完全性MFS的患者,其抗GD3抗体检测结果呈阳性,并出现锥体束征。这表明抗GD3抗体可能在某些非典型形式的MFS发病机制中起作用,在临床实践中值得关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ddf/11785465/5d3066df4c73/CCR3-13-e70144-g002.jpg

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