实用临床医药杂志2024,Vol.28Issue(2) :55-59.DOI:10.7619/jcmp.20233402

1例抗IgLON家族蛋白5抗体相关脑病的病例报告

A case report with anti-IgLON family member 5 antibody-related encephalopathy

彭勇 马灿灿 朱琳 陈蓓蕾 殷梦媚 吴健 俞龙 侯文哲
实用临床医药杂志2024,Vol.28Issue(2) :55-59.DOI:10.7619/jcmp.20233402

1例抗IgLON家族蛋白5抗体相关脑病的病例报告

A case report with anti-IgLON family member 5 antibody-related encephalopathy

彭勇 1马灿灿 2朱琳 2陈蓓蕾 3殷梦媚 2吴健 2俞龙 2侯文哲2
扫码查看

作者信息

  • 1. 扬州大学医学院,江苏扬州,225009
  • 2. 扬州大学临床医学院/扬州大学附属苏北人民医院神经内科,江苏扬州,225001
  • 3. 扬州大学医学院,江苏扬州,225009;扬州大学临床医学院/扬州大学附属苏北人民医院神经内科,江苏扬州,225001
  • 折叠

摘要

本研究报道1例50岁女性患者,表现为认知障碍和睡眠障碍,伴自主神经功能障碍、癫痫发作,脑脊液抗IgLON家族蛋白5(IgLON5)抗体阴性,血清抗IgLON5抗体阳性,基因检测人类白细胞抗原(HLA)阴性,诊断为抗IgLON5抗体相关脑病.患者入院后予甲泼尼龙冲击联合静脉注射免疫球蛋白免疫治疗、多奈哌齐改善认知、丙戊酸钠和奥卡西平抗癫痫发作,症状明显改善.

Abstract

This study reported a 50-year-old female patient who was diagnosed with anti-IgLON family member 5(anti-IgLON5)antibody-related encephalopathy,presented with cognitive and sleep disorders,autonomic dysfunction and seizures,positive serum IgLON5 antibody but negative cerebro-spinal fluid IgLON5 antibody,negative human leukocyte antigen(HLA)by genetic testing,and was diagnosed as anti-IgLON5 antibody-related encephalopathy.After hospital admission,the patient was given intravenous methylprednisolone combined with immunoglobulin immunotherapy,donepezil for improvement of cognition,sodium valproate and oxcarbazepine for prevention and treatment of epilep-tic seizures,and finally her symptoms improved significantly.

关键词

自身免疫性脑炎/抗IgLON家族蛋白5抗体相关脑病/认知障碍/睡眠障碍/癫痫/免疫治疗

Key words

autoimmune encephalitis/anti-IgLON family member 5 antibody-related encepha-lopathy/cognitive disorder/sleep disorder/epilepsy/immunotherapy

引用本文复制引用

基金项目

2022年度省级学科带头人B类(DTRB202210)

江苏省"333工程"培养对象(RC3330527)

扬州市十三五科教强卫重点人才(RCC201838)

出版年

2024
实用临床医药杂志
扬州大学,中国高校科技期刊研究会

实用临床医药杂志

CSTPCD
影响因子:1.543
ISSN:1672-2353
参考文献量22
段落导航相关论文