在COVID相关的犀牛-轨道-大脑粘菌菌病中周围神经的传播:单一的三级护理中心研究
Parul Gupta1, Ankita Gupta, Meenu Bagarhatta
1Department of Radiodiagnosis, Sawai Man Singh Medical College, Jaipur, Rajasthan, India.
Neurology India
|January 9, 2026
概括
周围神经扩散在犀牛轨道脑粘膜病 (ROCM) 中很常见,影响超过30%的患者. 识别所涉及的神经,如轨道下和视神经,有助于管理这种严重的感染.
科学领域:
- 眼科医生 眼科 眼科
- 神经学 神经学
- 传染性疾病 传染性疾病
背景情况:
- 犀牛轨道脑粘膜 (ROCM) 正在增加,特别是在COVID-19大流行期间的糖尿病患者中.
- 通过骨质侵蚀和血管入侵,ROCM可以迅速扩散到轨道和大脑.
- 周围神经扩散虽然很少发生,但是一种重要的并发症,但记录不足.
研究的目的:
- 为了确定ROCM中围神经扩散的发生率.
- 为了确定常常受到围神经扩散影响的特定头骨神经.
- 为了帮助患者预后和ROCM的治疗选.
主要方法:
- 对270个经遗传病理证实的ROCM病例进行了回顾性分析.
- 对人口统计,临床和放射学数据的评估.
- 磁共振成像 (MRI) 用于检测神经沿神经传播.
主要成果:
- 在ROCM患者中,周围神经扩散在30.4%的患者中被发现.
- 下轨道神经 (20%),视觉神经 (19.2%) 和大神经 (16.2%) 是最常受到影响的.
- 缺血性神经病变发生在13.3%的人群中,主要影响视神经.
结论:
- 在ROCM中记录了周围神经传播的显著发病率.
- 确定了常见的神经通路,提供了预后价值.
- 识别周围神经传播对于准确评估疾病程度和改善ROCM管理至关重要.
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