在患有多发性硬化症的患者中,初级大脑免疫球蛋白轻链氨基瘤
Marissa J M Traets1, Krisna Chuwonpad2, Roos J Leguit3
1Department of Internal Medicine, Sint Antonius Hospital, Nieuwegein, Netherlands M.J.M.Traets@umcutrecht.nl.
BMJ case reports
|January 25, 2024
概括
在多发性硬化症患者中,一种罕见的原发性大脑粉样瘤 (AL) 病例被成功地用放射治疗治疗. 这种方法改善了神经缺陷和控制,为这种不常见的疾病提供了潜在的治疗选择.
科学领域:
- 神经学 神经学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 一名患有多发性硬化症的男子呈现出渐进的神经系统缺陷和发作.
- 脑部成像显示了一种非典型的白质病变,与典型的多发性硬化症表现不同.
- 脑部活检证实B细胞透与羔羊免疫球蛋白轻链 (AL) 粉样蛋白沉积物.
研究的目的:
- 描述一种罕见的原发性大脑AL髓瘤病例.
- 为了评估这种情况的治疗和放射治疗的结果.
主要方法:
- 诊断工作包括脑成像,骨髓活检,PET/CT和广泛的实验室测试.
- 患者接受了针对大脑损伤的体积调节弧射疗法 (12个分数中的24 Gy).
主要成果:
- 排除了系统性淋巴瘤和系统性氨基粉症.
- 在放射治疗后,患者经历了左臂的部分解决和左腿功能的改善.
- 在治疗后,发作停止了.
结论:
- 初级大脑AL Amyloidoma是一种罕见的实体,不清楚最佳治疗策略.
- 在这种情况下,局部应用的放射治疗在控制神经症状和发作方面表现出有效性.
- 放射疗法代表了原发性大脑AL Amyloidoma的可行的治疗选择.
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