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病例报告:环孢素A诱导的神经毒性。

Case report: cyclosporin A-induced neurotoxicity.

作者信息

Monteiro L, Almeida-Pinto J, Rocha N, Lopes G, Rocha J

机构信息

Department of Neurology, Hospital Geral de Santo António, Oporto, Portugal.

出版信息

Br J Radiol. 1993 Mar;66(783):271-2. doi: 10.1259/0007-1285-66-783-271.

DOI:10.1259/0007-1285-66-783-271
PMID:8472124
Abstract

Acute encephalopathy is a recognized toxic effect of Cyclosporin A (CsA) in organ transplantation recipients. A 16-year-old girl presented with acute encephalopathy 2 weeks after CsA and methylprednisolone medication for idiopathic uveitis. Magnetic resonance imaging showed cortical and white matter occipital changes, which were not visible 2 months later. With expanding indication for CsA use, an increasing number of neurotoxic cases are to be expected.

摘要

急性脑病是环孢素A(CsA)在器官移植受者中公认的毒性作用。一名16岁女孩在使用CsA和甲基泼尼松龙治疗特发性葡萄膜炎2周后出现急性脑病。磁共振成像显示枕叶皮质和白质有改变,2个月后这些改变消失。随着CsA使用指征的扩大,预计会出现越来越多的神经毒性病例。

相似文献

1
Case report: cyclosporin A-induced neurotoxicity.病例报告:环孢素A诱导的神经毒性。
Br J Radiol. 1993 Mar;66(783):271-2. doi: 10.1259/0007-1285-66-783-271.
2
Cyclosporin neurotoxicity.环孢素神经毒性
Br J Haematol. 2003 Dec;123(5):755. doi: 10.1046/j.1365-2141.2003.04524.x.
3
Clinical findings and magnetic resonance imaging in severe cyclosporine-related neurotoxicity after allogeneic bone marrow transplantation.异基因骨髓移植后严重环孢素相关神经毒性的临床发现及磁共振成像
Eur J Haematol. 2001 Aug;67(2):94-9. doi: 10.1034/j.1600-0609.2001.t01-1-00440.x.
4
Cyclosporin A toxicity: MRI appearance of the brain.环孢素A毒性:脑的磁共振成像表现
Pediatr Radiol. 1995;25(3):180-3. doi: 10.1007/BF02021528.
5
Alternative tacrolimus and sirolimus regimen associated with rapid resolution of posterior reversible encephalopathy syndrome after lung transplantation.肺移植后,他克莫司与西罗莫司替代方案相关联,可迅速缓解后部可逆性脑病综合征。
Pediatr Neurol. 2014 Mar;50(3):272-5. doi: 10.1016/j.pediatrneurol.2013.11.006. Epub 2013 Nov 16.
6
Cyclosporine-associated leukoencephalopathy in organ transplant recipients: experience of three clinical cases.器官移植受者中与环孢素相关的白质脑病:三例临床病例经验
Transplant Proc. 2006 Apr;38(3):921-3. doi: 10.1016/j.transproceed.2006.02.038.
7
Cyclosporine-related neurotoxicity in a patient after bilateral lung transplantation for cystic fibrosis.
Transplant Proc. 2004 Nov;36(9):2837-9. doi: 10.1016/j.transproceed.2004.09.072.
8
[Neurotoxicity caused by cyclosporin A in renal transplantation in children].
Rev Med Chil. 1992 Mar;120(3):300-3.
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Central neurotoxicity of cyclosporine in two children with nephrotic syndrome.环孢素对两名肾病综合征患儿的中枢神经毒性作用
Pediatr Nephrol. 2004 Mar;19(3):276-80. doi: 10.1007/s00467-003-1347-2. Epub 2004 Feb 3.
10
[Reversible leukoencephalopathy related to cyclosporin treatment].[与环孢素治疗相关的可逆性白质脑病]
Rev Neurol. 1997 Mar;25(139):471-3.

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: ophthalmic complications following lung transplantation.肺移植后的眼科并发症
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Immunosuppression in uveitis therapy.
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3
Focal hepatic encephalopathy with status epilepticus: incomplete recovery after hepatic transplantation.
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