怀孕期间抗NMDAr脑炎的围产期结局 - 一项系统性审查,分析了个体患者的数据分析
Giovanna Scorrano1,2, Fedele Dono3,4, Clarissa Corniello5,2
1Department of Pediatrics, "G. d'Annunzio" University of Chieti-Pescara, Chieti, Italy.
概括
孕妇抗N-甲基-D-酸盐受体 (NMDAr) 抗体脑炎可能导致胎儿和新生儿不良后果,包括发育和神经问题. 母体血清抗体水平对于预测这些风险和指导治疗策略至关重要.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 产科 产科 产科 产科 产科
背景情况:
- 抗N-甲基-D-酸盐受体 (NMDAr) 抗体脑炎是一种影响突触功能的自身免疫性疾病,经常在孕妇中观察到.
- 临床表现可能会影响母亲和发育中的胎儿.
结论:
- 在患有抗NMDAr脑炎的母亲身上,特征性的怀孕和新生儿结局.
- 确定了与怀孕期间母亲疾病相关的关键风险因素.
- 提供了治疗策略的见解,以减轻胎儿和儿童神经发育的风险.
相关概念视频
Teratogenicity
4.2K
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
4.2K
Encephalitis l: Introduction
11
Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
11
Encephalitis ll: Pathophysiology
18
Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...
18


