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自身免疫性脑炎的临床分析及脑电图特点

黄明珠 陈丽真 陈圣根 车春晖 黄华品

中国实用神经疾病杂志2018,Vol.21Issue(3):273-278,6.
中国实用神经疾病杂志2018,Vol.21Issue(3):273-278,6.DOI:10.12083/SYSJ.2018.03.070

自身免疫性脑炎的临床分析及脑电图特点

Autoimmune encephalitis 9 cases of clinical feature analysis and electroencephalogram characteristics

黄明珠 1陈丽真 1陈圣根 1车春晖 1黄华品1

作者信息

  • 1. 福建医科大学附属协和医院神经内科 ,福建 福州 350000
  • 折叠

摘要

Abstract

Objective To explore the characteristics of clinical manifestation ,magnetic resonance imaging (MRI) ,cerebro-spinal fluid(CSF) and treatment outcome of autoimmune encephalitis (AE) .Methods The clinical data of 9 patients with retro-spectively analyzed .Results Among these patients ,4 of them were proved to have anti-N-methyl-D-aspartate receptor (NMDA ) encephalitis ,while 1 of them got diagnosis of anti-leucine-rich glioma-inactivated protian 1 antibody(LG1) encephalitis ,and the other 2 had anti-γ-aminobutyric acid B receptor(GABAR) antibody .88.9% of the patients had seizure ,66.7% of the patients had involuntary movement and autonomic nerve dysfunction .44.4% of the patients had abnormal CSF ,while 100% of them showed abnormal in EEG ,22.2% patients had abnormal MRI signal .8 patients accepted immunoglobulin therapy ,and 1 paitents returned to local hospital for treatment ,66.7% of them had favorable prognosis .Conclusion Electroencephalogram is an important method to evaluate autoimmune encephalitis .

关键词

自身免疫性脑炎/癫痫/σ刷/NMDAR脑炎/GABAR脑炎

Key words

Autoimmune encephalitis/Seizures/δbrush/NMDAR/GABAR

分类

医药卫生

引用本文复制引用

黄明珠,陈丽真,陈圣根,车春晖,黄华品..自身免疫性脑炎的临床分析及脑电图特点[J].中国实用神经疾病杂志,2018,21(3):273-278,6.

基金项目

国家自然基金面上项目(81371426) (81371426)

中国实用神经疾病杂志

1673-5110

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