自身免疫性脑炎。

Q4 Medicine European neurological review Pub Date : 2020-02-02 DOI:10.32388/9rkr7t
F. Leypoldt, Klaus-Peter Wandinger, C. Bien, J. Dalmau
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引用次数: 15

摘要

自身免疫性脑炎这一术语用于描述一组以边缘和边缘外功能障碍症状为特征的疾病,这些症状与针对突触抗原和定位于神经元细胞表面的蛋白质的抗体有关。近年来,对这些综合征的认识迅速扩大,导致临床范式的转变和对致病机制的新见解。由于许多患者对免疫抑制治疗反应良好,因此对这些疾病的认识是至关重要的。一般来说,除了神经元抗体的证明外,没有脑成像模式或这些疾病的特异性生物标志物。基于这些抗体的疾病分类提供了预后和副肿瘤病因学的信息。这篇文章的重点是最近的临床进展,新特征的抗体和治疗方法,这些疾病。
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Autoimmune Encephalitis.
The term autoimmune encephalitis is used to describe a group of disorders characterised by symptoms of limbic and extra-limbic dysfunction occurring in association with antibodies against synaptic antigens and proteins localised on the neuronal cell surface. In recent years there has been a rapidly expanding knowledge of these syndromes resulting in a shift in clinical paradigms and new insights into pathogenic mechanisms. Since many patients respond well to immunosuppressive treatment, the recognition of these disorders is of utmost importance. In general, there are no brain-imaging modalities or biomarkers specific of these disorders other than the demonstration of the neuronal antibodies. A disease classification based on these antibodies provides information on prognosis and paraneoplastic aetiology. This article focuses on recent clinical advances, newly characterised antibodies and treatment approaches to these disorders.
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European neurological review
European neurological review Medicine-Neurology (clinical)
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