抗NMDA自身免疫性脑炎COVID-19后儿童患者的疫苗接种:一个病例报告
Haila Alabssi1, Nouf F Almulhim1, Mohammed Al-Omari2,3
1College of Medicine, Imam Abdulrahman Bin Faisal University, Eastern Province, Saudi Arabia.
Neuropediatrics
|November 16, 2023
概括
罕见的COVID-19疫苗接种后脑炎发生在一个儿科患者身上. 这个案例详细介绍了Pfizer-BioNTech疫苗后的抗N-甲基-d-酸盐 (NMDA) 脑炎,成功治疗.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 疫苗学 疫苗学 疫苗学
背景情况:
- 后COVID-19疫苗接种脑炎是一种罕见的不良事件,特别是在儿童中.
- 抗N-甲基-d-酸盐 (NMDA) 受体脑炎是一种自身免疫神经系统疾病.
研究的目的:
- 报告与COVID-19疫苗接种临时相关的抗NMDA脑炎的首例儿科病例.
- 为突出青少年接种COVID-19疫苗后可能出现的神经复发症.
主要方法:
- 一个13岁的女性患者的病例报告.
- 临床表现,诊断工作和抗NMDA脑炎的治疗.
- 关于疫苗接种后脑炎的文献综述.
主要成果:
- 该患者在接种了瑞-生物科技COVID-19疫苗的第一剂后出现了亚急性神经和精神症状.
- 对抗NMDA自身免疫性脑炎的诊断得到证实.
- 患者在静脉注射免疫球蛋白和类固醇治疗后显著恢复.
结论:
- 在儿童患者中,COVID-19疫苗接种可能很少与抗NMDA脑炎有关.
- 及时诊断和免疫治疗对于有利的结果至关重要.
- 需要进一步的监测,以了解COVID-19疫苗后的神经事件的全部范围.
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