首页> 外文期刊>Journal of Neuroimmunology: Official Bulletin of the Research Committee on Neuroimmunology of the World Federation of Neurology >Anti-NMDA-receptor encephalitis: a severe, multistage, treatable disorder presenting with psychosis.
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Anti-NMDA-receptor encephalitis: a severe, multistage, treatable disorder presenting with psychosis.

机译:抗NMDA-受体脑炎:具有精神病的严重,多级,可治疗的疾病。

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摘要

Anti-NMDA-receptor encephalitis is a severe, treatable and potentially reversible disorder presenting with memory deficits, psychiatric symptoms and seizures. Initially described in young patients with ovarian teratoma, the disease is meanwhile increasingly recognized also in women without tumours, in men and in children. The presence of anti-glutamate receptor (type NMDA) autoantibodies in serum or cerebrospinal fluid is specific for this novel and widely underdiagnosed disorder. Early recognition is crucial since prognosis largely depends on adequate immunotherapy and, in paraneoplastic cases, complete tumour removal. Indirect immunofluorescence using NMDA-type glutamate receptors recombinantly expressed in human cells is a highly competent method for diagnosing anti-NMDA-receptor encephalitis.
机译:抗NMDA-受体脑炎是一种严重,可治疗和潜在可逆的障碍,呈现内存缺陷,精神症状和癫痫发作。 最初在卵巢畸胎瘤的年轻患者中描述,该疾病同时也越来越普遍地在没有肿瘤,男性和儿童的女性中公认。 血清或脑脊液中的抗谷氨酸受体(型NMDA)自身抗体的存在对于这种新颖和广泛的疾病是特异性的。 早期识别至关重要,因为预后主要取决于足够的免疫疗法,并且在平原病例中,完全肿瘤去除。 使用在人细胞中重组表达的NMDA型谷氨酸受体的间接免疫荧光是诊断抗NMDA受体脑炎的高度竞争力的方法。

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