中枢神经系统的非自愿运动障碍 真菌感染:系统性审查
Ravindra Kumar Garg1, Shweta Pandey2, Sanjay Singhal3
1Department of Neurology, Era's Lucknow Medical College & Hospital, Era University, Lucknow, India.
Movement disorders clinical practice
|October 22, 2025
概括
中枢神经系统的真菌感染会导致运动障碍. 早期识别临床模式和药物效应对于管理这些罕见但严重的疾病至关重要.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 药理学 药理学是指药理学的学科.
背景情况:
- 中枢神经系统 (CNS) 的真菌感染很少见,但可以表现为各种运动障碍.
- 这些疾病可能由直接的真菌入侵或抗真菌疗法的不良影响引起.
研究的目的:
- 系统地审查和整合与中枢神经系统真菌感染相关的运动障碍的已发表病例.
- 描述临床模式,潜在的机制和患者的结果.
主要方法:
- 按照PRISMA 2020指南进行了系统审查.
- 数据是从主要科学数据库中识别的病例报告,系列和队列中提取的.
- 该审查已在PROSPERO (CRD420251088348) 中进行注册.
主要成果:
- 分析了45项研究中的50例病例,显示44%的运动障碍直接来自真菌感染 (主要是霍乱,帕金森症),22%来自药物毒性 (主要是).
- 新型菌 (Cryptococcus neoformans) 和菌 (Coccidioides) 是常见的病原体;在直接感染中,基底腺的参与频繁.
- 在34%的病例中,观察到大脑小参与的,通常与有关.
结论:
- 中枢神经系统的真菌感染呈现出各种各样的运动障碍.
- 及时识别抗真菌药物的特定临床表现和潜在的神经毒性作用对于有效的患者管理至关重要.
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