{"title":"自身免疫性脑炎的影像学诊断与鉴别诊断","authors":"Yayun Xiang, Chun-ying Zeng","doi":"10.3760/CMA.J.ISSN.1005-1201.2020.03.018","DOIUrl":null,"url":null,"abstract":"自身免疫性脑炎（AE）是一组主要由细胞免疫和（或）体液免疫介导的非感染性中枢神经系统自身免疫性疾病，与其抗神经细胞抗体密切相关。AE往往临床病程严重、进展迅速，早期诊断并及时行免疫综合治疗对临床转归至关重要，绝大多数患者预后良好。不同类型AE的临床表现、实验室检查及影像学特征有其相应的特点。笔者对AE的影像学特征及其鉴别诊断进行归纳总结，以期进一步提高广大医师对该病的认识。","PeriodicalId":39377,"journal":{"name":"Zhonghua fang she xue za zhi Chinese journal of radiology","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2020-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Diagnostic imaging and differential diagnosis of autoimmune encephalitis\",\"authors\":\"Yayun Xiang, Chun-ying Zeng\",\"doi\":\"10.3760/CMA.J.ISSN.1005-1201.2020.03.018\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"自身免疫性脑炎（AE）是一组主要由细胞免疫和（或）体液免疫介导的非感染性中枢神经系统自身免疫性疾病，与其抗神经细胞抗体密切相关。AE往往临床病程严重、进展迅速，早期诊断并及时行免疫综合治疗对临床转归至关重要，绝大多数患者预后良好。不同类型AE的临床表现、实验室检查及影像学特征有其相应的特点。笔者对AE的影像学特征及其鉴别诊断进行归纳总结，以期进一步提高广大医师对该病的认识。\",\"PeriodicalId\":39377,\"journal\":{\"name\":\"Zhonghua fang she xue za zhi Chinese journal of radiology\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-03-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Zhonghua fang she xue za zhi Chinese journal of radiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1005-1201.2020.03.018\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Zhonghua fang she xue za zhi Chinese journal of radiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1005-1201.2020.03.018","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
摘要
Autoimmune encephalitis (AE) is a group of non infectious central nervous system autoimmune diseases mainly mediated by cellular and/or humoral immunity, closely related to its anti neural cell antibodies. AE often has a severe clinical course and rapid progression. Early diagnosis and timely immunotherapy are crucial for clinical outcomes, and the vast majority of patients have a good prognosis. The clinical manifestations, laboratory examinations, and imaging features of different types of AE have their corresponding characteristics. The author summarizes the imaging features and differential diagnosis of AE in order to further enhance the understanding of the disease among physicians.
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