Braham J, Siegal T, Sadeh M
J Neurol. 1982;227(1):55-9. doi: 10.1007/BF00313548.
A 19-year-old youth suffered from periodic attacks of ataxia and dysarthria. Abnormally high IgG and IgA levels were found in the CSF. The length of the episodes of ataxia, absence of family history and the presence of generalised paroxysmal features in the EEG constitute a combination which is not believed to have been recorded previously. Carbamazepine was ineffective but temporary clinical and electroencephalographic improvement followed the administration of ACTH. Acetazolamide therapy has resulted in prolonged remissions from attacks.
一名19岁青年患有周期性共济失调和构音障碍发作。脑脊液中发现IgG和IgA水平异常升高。共济失调发作的时长、无家族病史以及脑电图中存在全身性阵发性特征,构成了一种据信此前未被记录过的组合。卡马西平无效,但给予促肾上腺皮质激素(ACTH)后临床和脑电图出现了暂时改善。乙酰唑胺治疗使发作得到了长期缓解。