儿科自身免疫脑炎的早期精神表现:来自第三级中心的临床数据
V Baglioni1, L Terenzi1, C Corazzina1
1Department of Human Neuroscience, Unit of Child and Adolescent Neuropsychiatry, Sapienza University of Rome, Via Dei Sabelli 108, 00185, Rome, Italy.
概括
儿童自身免疫脑炎 (AE) 可以出现早期精神症状. 识别这些症状对于及时诊断和治疗这种罕见的神经疾病至关重要.
科学领域:
- 神经免疫学 神经免疫学
- 儿科神经学 儿科神经学
- 儿童和青少年精神病学
背景情况:
- 自身免疫性脑炎 (AE) 是一种罕见的,免疫媒介的中枢神经系统疾病.
- 儿科AE经常出现初始精神症状,模仿初级精神疾病.
- 这使得儿童和青少年的早期诊断变得复杂.
研究的目的:
- 描述儿科自身免疫脑炎的早期精神病学表现.
- 分析患有新发精神症状的儿科住院患者的临床记录.
主要方法:
- 住院病人的回顾性观察研究 (2022年7月至2024年7月).
- 对1577名急性精神症状的入院者进行了查.
- 包括6名被诊断为确定的或可能的AE的儿科患者.
主要成果:
- 所有6名患者都表现出精神症状,如外部化行为,精神病的情绪障碍和睡眠障碍.
- 在5/6名患者中发现脑脊液 (CSF) 异常.
- 在4/6名患者中确定了神经抗体 (抗NMDAR,抗GAD65).
结论:
- 早期的精神症状是儿科AE的重要指标.
- 在新发的儿科精神病呈现时,应考虑自身免疫原因.
- 及时诊断至关重要,尤其是在没有先前精神病史的情况下.
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