神经脊髓炎光谱障碍中的运动障碍:系统性审查
Luciana A F Bringel1, Pedro L G S B Lima1, Pedro V F Rodrigues1
1Division of Neurology, Hospital Universitário Walter Cantídio, Universidade Federal do Ceará, Fortaleza, Brazil.
Movement disorders clinical practice
|September 2, 2025
概括
视神经炎谱系障碍 (NMOSD) 可能伴有各种运动障碍 (MD),最常见的是强力和心动. 了解这些MD有助于识别NMOSD并改善患者的治疗结果.
科学领域:
- 神经学
- 神经免疫学
- 运动障碍
背景情况:
- 视神经炎谱系障碍 (NMOSD) 与多种运动障碍 (MD) 有关.
- 之前的审查没有全面覆盖NMOSD中的MD频谱.
研究的目的:
- 系统地审查NMOSD中的运动障碍.
- 描述NMOSD中MD的流行程度和临床特征.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 基于2015年国际共识标准的NMOSD患者的研究.
- 对至少4项研究和5名患者进行的MD的元分析.
主要成果:
- 分析了涉及1751名患者的96篇文章 (487名患有MD).
- 抗水素-4 抗体 (AQP4- IgG) 的高患病率为整体79. 9%和NMOSD- MD患者的78. 7%.
- 最常见的多发性肌痛是性/性肌痛 (39%) 和性肌痛 (26%);其他如震和帕金森症更为罕见.
结论:
- NMOSD表现出不同频率的多种运动障碍.
- 在NMOSD中识别MD可以促进早期诊断.
- 这种理解可能会改善MD的NMOSD患者的治疗和治疗结果.
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