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2024-5-25
Vol 32, issue 5

ISSUE

2022 年10 期 第30 卷

病例研究 HTML下载 PDF下载

以非惊厥性癫痫持续状态为主要表现的抗Amphiphysin 抗体相关自身免疫性脑炎一例报道并文献复习

Anti-Amphiphysin Antibody-Associated Autoimmune Encephalitis with Non-Convulsive Status Epilepticus as theMain Manifestation: a Case Report and Literature Review

作者:魏爱芹1,郭晓敏2

单位:
1.710021陕西省西安市,西安医学院2.710068陕西省西安市,陕西省人民医院神经内科
Units:
1.Xi'an Medical University, Xi'an 710021, China2.Department of Neurology, Shaanxi Provincial People's Hospital, Xi'an 710068, China
关键词:
脑炎;自身免疫性脑炎;抗Amphiphysin抗体;非惊厥性癫痫持续状态;病例报告
Keywords:
Encephalitis; Autoimmune encephalitis; Anti-Amphiphysin antibody; Nonconvulsive status epilepticus;Case reports
CLC:
 R 512.31 
DOI:
10.12114/j.issn.1008-5971.2022.00.258
Funds:
陕西省重点研发计划项目(S2020-YF-YBSF-0260)

摘要:

自身免疫性脑炎类型较多,但抗Amphiphysin抗体相关自身免疫性脑炎在临床上少见。抗Amphiphysin抗体相关自身免疫性脑炎患者主要表现为癫痫发作、认知功能下降、精神异常等,但以非惊厥性癫痫持续状态为主要表现的患者较少。本文报道陕西省人民医院收治的1例以非惊厥性癫痫持续状态为主要表现的抗Amphiphysin抗体相关自身免疫性脑炎患者的诊疗经过,并进行相关文献复习,以加强临床医生对该病的认识。

Abstract:

There are many types of autoimmune encephalitis, but anti-Amphiphysin antibody-related autoimmuneencephalitis is rare in clinical practice. Anti-Amphiphysin antibody-related autoimmune encephalitis patients mainly manifestedas epileptic seizures, cognitive decline, mental disorders, etc., but the patients with non-convulsive status epilepticus were less.This article reports the diagnosis and treatment of a patient with anti-Amphiphysin antibody-related autoimmune encephalitiswith non-convulsive status epilepticus as the main manifestation in Shaanxi Provincial People's Hospital, and reviews the relevantliterature to strengthen clinicians' understanding of the disease.

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