诊断为初级中枢神经系统淋巴瘤的NMDAR抗体脑炎:一个病例系列
Soo Hyun Ahn1, Cynthea Prima2, Tae Min Kim3
1Department of Neurology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea.
Annals of clinical and translational neurology
|August 29, 2025
概括
甲基D-酸盐受体抗体脑炎 (NMDAR脑炎) 可能与初级中枢神经系统淋巴瘤 (PCNSL) 有关. 这项研究提出了三个案例,表明PCNSL是NMDAR脑炎的潜在瘤原因.
科学领域:
- 神经学
- 免疫学
- 癌症学
背景情况:
- 甲基D-酸盐受体抗体脑炎 (NMDAR脑炎) 是一种常见的自身免疫性疾病.
- 在大约38%的NMDAR脑炎病例中发现了副瘤关系.
- 主要中枢神经系统淋巴瘤 (PCNSL) 很少被认为是潜在的原因.
研究的目的:
- 报告与PCNSL相关的三例NMDAR脑炎.
- 确定这些罕见疾病的临床特征.
- 突出PCNSL作为NMDAR脑炎的潜在瘤源.
主要方法:
- 报告了三名怀疑患有NMDAR脑炎的病例系列.
- 对临床数据和诊断结果进行了审查.
- 分析的重点是NMDAR脑炎和PCNSL之间的关联.
主要成果:
- 在PCNSL患者中诊断出三例NMDAR脑炎.
- 观察到特定的临床特征,表明这两种情况同时发生.
- PCNSL被确定为可能的瘤起源.
结论:
- 在对自身免疫性脑炎,特别是NMDAR脑炎的差异诊断中应考虑PCNSL.
- 识别PCNSL和NMDAR脑炎之间的联系可以改善诊断和治疗.
- 这种关联强调了在自身免疫神经疾病中调查潜在的瘤病因的重要性.
更多相关视频
07:20A Simple Cell-based Immunofluorescence Assay to Detect Autoantibody Against the N-Methyl-D-Aspartate NMDA Receptor in Blood
Published on: January 9, 2018
10.0K
09:01Flow Cytometric Analysis of Lymphocyte Infiltration in Central Nervous System during Experimental Autoimmune Encephalomyelitis
Published on: November 17, 2020
7.2K
相关概念视频
Viral Meningitis
Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
Arboviral Encephalitis
Arboviral encephalitis refers to brain inflammation caused by arthropod-borne viruses, particularly those transmitted through mosquito vectors. Among these, West Nile virus (WNV), a member of the Flaviviridae family, is a significant public health concern. WNV is an enveloped, positive-sense, single-stranded RNA virus. Human infection typically begins when an infected mosquito introduces the virus into the dermis during feeding. The primary transmission cycle involves birds as amplifying hosts...
Encephalitis l: Introduction
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...
Encephalitis ll: Pathophysiology
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...
