后可逆脑病综合征作为多发性硬化症复发模仿干扰素治疗期间的干扰素治疗
Mariana Dias da Costa1, Miguel Leal Rato2, João Ferreira3
1Neurology, Department of Neurosciences and Mental Health, Hospital de Santa Maria, Unidade Local de Saúde Santa Maria, Lisbon, Portugal.
Clinical neurology and neurosurgery
|December 6, 2024
概括
后可逆脑病综合征 (PRES) 可以模仿老年患者的多发性硬化复发. 早期诊断和暂停治疗对于这些罕见病例的更好的结果至关重要.
科学领域:
- 神经学 神经学
- 神经成像是一种神经成像.
- 自免疫性疾病 自免疫性疾病
背景情况:
- 后回性脑病综合征 (PRES) 是一种神经疾病,影响皮下白质.
- 复发性复发性多发性硬化症 (RRMS) 是一种影响中枢神经系统的自身免疫性疾病.
- 干扰素β是一种常见的RRMS疾病修饰疗法.
研究的目的:
- 报告一种罕见的非典型单边PRES病例,模仿RRMS复发.
- 强调在出现新的神经症状的RRMS患者中考虑PRES的重要性.
- 强调需要及时诊断和管理,以改善临床预后.
主要方法:
- 一个63岁的男性患者的病例报告RRMS在干扰素β治疗中.
- 非典型单边PRES的临床表现分析.
- 对PRES和RRMS的诊断标准和管理策略的审查.
主要成果:
- 患者出现了急性症状,表明RRMS复发.
- 神经成像显示非典型的单边PRES,不典型的RRMS复发.
- 干扰素β治疗暂停,并开始对PRES进行适当的治疗.
结论:
- PRES可以呈现异常并模仿RRMS复发,特别是在老年患者中.
- 在RRMS患者中,对PRES的临床怀疑对于具有新的神经缺陷的RRMS患者至关重要.
- 及时识别和管理,包括可能暂停疾病修饰疗法,可以带来更好的患者结果.
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