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患有抗N-甲基D-酸盐受体脑炎的儿童的认知障碍:一个案例报告

Seongsik Son¹, Kil-Byung Lim¹, Jeehyun Yoo¹

¹Department of Rehabilitation Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.

Brain & NeuroRehabilitation

|August 9, 2023

概括

本病例报告详细介绍了一名患有抗N-甲基-D-酸盐受体脑炎的儿科患者,他在康复后显著恢复了日常功能. 然而,尽管进行了密集治疗,认知缺陷,特别是工作记忆仍然存在.

科学领域:

神经学神经学
免疫学免疫学免疫学
康复医学康复医学康复医学

背景情况:

抗N-甲基D-酸盐受体脑炎是一种严重的自身免疫神经系统疾病,导致发作和功能衰退.
儿科患者经常经历持续的缺陷,需要在免疫治疗后进行广泛的康复护理.

研究的目的:

在韩国报告一例儿科抗N-甲基-D-酸盐受体脑炎病例.
评估综合康复对功能和认知结果的有效性.
为了突出儿童抗N-甲基-D-酸盐受体脑炎的持续性神经认知缺陷.

主要方法:

一名患有抗N-甲基D-酸盐受体脑炎的儿科患者接受了为期4周的密集康复治疗.
治疗包括身体,职业,吞,认知和语言治疗.
认知功能使用韩国儿童维克斯勒智力尺度-IV进行评估.

主要成果:

患者在运动力,平衡,吞,语言和日常生活活动方面显著改善.
然而,认知功能,特别是工作记忆,显示出最小的改善.
这一案例增加了儿童抗N-甲基-D-酸盐受体脑炎中长期的神经认知缺陷的证据.

结论:

综合性康复可以显著改善儿科抗N-甲基-D-酸盐受体脑炎的功能结果.
神经认知缺陷,特别是工作记忆,尽管功能恢复,但可能会持续存在.
需要进一步的研究来理解和解决这些患者的长期认知障碍.

关键词:

抗N-甲基D-酸盐受体脑炎认知功能障碍认知功能障碍执行职能执行职能执行职能

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