自身免疫性脑炎,自身免疫性痴呆症和自身免疫性精神病障碍
Panos Stathopoulos1, Marinos C Dalakas2
1First Department of Neurology, National and Kapodistrian University of Athens, Athens, Greece.
Handbook of clinical neurology
|January 12, 2026
概括
自身免疫性脑炎,影响每10万人中有14人,涉及对中枢神经系统 (CNS) 抗原的自身抗体. 早期诊断和免疫治疗显著改善了这种自身免疫神经疾病患者的结果.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 神经精神病学是一种神经精神病学.
背景情况:
- 在过去的15年里,自身免疫性脑炎综合征得到了认可.
- 这些情况影响了自身免疫神经学和自身免疫神经精神病学这一新兴领域.
- 许多患者最初呈现出改变精神状态和行为变化,往往被误诊并用抗精神病药物治疗.
研究的目的:
- 描述与自身免疫性脑炎中特定自身抗体相关的临床综合征.
- 讨论与细胞内和抗突触抗体相关的自身免疫的原理.
- 探索自身免疫神经精神病学概念及其影响.
主要方法:
- 对与各种自身抗体相关的临床综合征的审查.
- 讨论自身免疫的原则,包括抗体的致病性.
- 分析潜在的触发因素,如感染,瘤和免疫检查点抑制剂.
- 治疗策略和预后因素的检查.
主要成果:
- 由对中枢神经系统抗原的自身抗体引起的自身免疫性疾病对免疫疗法有显著的反应.
- 证据支持自身抗体的致病性,并识别了诸如感染和瘤之类的触发因素.
- 早期识别和诊断对于有效治疗至关重要.
结论:
- 自身免疫性脑炎是一种重要的神经系统疾病,具有不同的临床表现.
- 以早期诊断为指导的向免疫疗法,可以改善结果.
- 自身免疫神经精神病学领域正在迅速发展,突出了认识到这些疾病的重要性.
相关概念视频
Autoimmune Disorders
1.4K
Autoimmune diseases are a group of disorders in which the body's immune system mistakenly attacks its own cells, tissues, and organs. This results from an overactive immune response against substances and tissues normally present in the body. Let's delve into the concept and mechanism of autoimmune diseases from an immune system point of view, explore different causes and examples of such diseases, and discuss potential solutions.
Concept and Mechanism of Autoimmune Diseases
The immune...
Concept and Mechanism of Autoimmune Diseases
The immune...
1.4K
Psychosis and Antipsychotic Drugs: Overview
802
The term "psychosis" refers to a spectrum of mental disorders characterized by abnormal thoughts, perceptions, and behaviors. It can manifest as mood disorders, dementia, delirium with psychotic features, substance-induced psychosis with psychotic features, brief psychotic disorder, delusional disorder, schizoaffective disorder, and schizophrenia. Among all these disorders, schizophrenia is the most common psychotic disorder, affecting 1% of the worldwide population. Psychotic...
802
Psychosis: Pathophysiology of Schizophrenia and Other Psychotic Disorders
1.8K
Schizophrenia is a neurodevelopmental disorder whose origins are rooted in complex genetic components. Despite our burgeoning understanding, the pathophysiology of this disorder remains incompletely deciphered.
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
1.8K
Disorders of the Nervous Tissue
2.5K
Nervous tissue is a vital component of the human body's communication system, enabling us to perceive and respond to stimuli. However, like all other tissues, it is vulnerable to disorders and diseases that can significantly impact our neurological functioning.
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
Homeostatic Imbalances:
Alzheimer's disease manifests as a gradual decline in memory and cognitive abilities, attributed to the buildup of amyloid plaques and neurofibrillary tangles in the brain.
Parkinson's disease arises from the...
2.5K
Dementia
511
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
511
Alzheimer's Disease: Overview
1.6K
Alzheimer's Disease (AD) is a continually advancing neurodegenerative disorder, distinguished by escalating memory loss, cognitive dysfunction, and dementia. The disease unfolds in three stages: preclinical, mild cognitive impairment (MCI), and dementia. Its onset is insidious, and the progression gradual, with the cause not well explained by other disorders.
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
The clinical diagnosis of AD hinges on the presence of memory and other cognitive impairments. Biomarkers, such as changes in Aβ...
1.6K


