丹麦的良性复发性淋巴细胞脑膜炎 (Mollaret脑膜炎):一项全国性的队列研究
Pelle Trier Petersen1,2, Jacob Bodilsen3,4, Micha Phill Grønholm Jepsen1
1Department of Pulmonary and Infectious Diseases, Nordsjaellands Hospital, Hillerød, Denmark.
European journal of neurology
|October 5, 2023
概括
良性复发性淋巴细胞性脑膜炎 (BRLM) 与单次发生的单纯疹病毒2型 (HSV-2) 脑膜炎具有相同的临床特征,但结果更好. 以前有多次脑膜炎发作的患者面临更高的复发风险.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 流行病学 流行病学
背景情况:
- 关于良性复发性淋巴细胞脑膜炎 (BRLM) 的临床特征和结果的数据有限.
- 简单疹病毒2型 (HSV-2) 是已知的脑膜炎的原因之一.
研究的目的:
- 调查成年人BRLM的临床特征和结果.
- 为了比较BRLM与单次发生的HSV-2脑膜炎.
- 为了确定BRLM中复发的风险因素.
主要方法:
- 丹麦 (2015-2020年) 全国基于人口的队列研究.
- 包括因与HSV-2相关的BRLM住院的成年人.
- 对照组:患有单次HSV-2脑膜炎的患者.
主要成果:
- 确定了47名BRLM患者 (发生率为1.2 /百万).
- 从HSV-2脑膜炎发展为BRLM的风险为22%.
- 与单次发生的HSV-2脑膜炎相比,BRLM患者的症状概况类似,但脑流体白细胞数量较低,离院后的结果更有利.
- 每年BRLM复发率为6%;之前≥3次复发的患者的额外复发风险增加了3.93倍.
结论:
- BRLM的临床表现类似于单次发生的HSV-2脑膜炎.
- 在BRLM中,放电后的功能结果更有利.
- 脑膜炎多次发作史增加了BRLM的复发风险.
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