关键词: Autoimmune encephalitis Eosinophils Glial fibrillary acidic protein astrocytopathy Meningitis

Mesh : Humans Autoimmune Diseases of the Nervous System Glial Fibrillary Acidic Protein Eosinophils Encephalitis / cerebrospinal fluid Meningitis / diagnostic imaging Astrocytes / metabolism Autoantibodies

来  源:   DOI:10.1016/j.jneuroim.2023.578249

Abstract:
Cerebrospinal fluid (CSF) eosinophilia is associated with a narrow differential, primarily including parasitic and fungal infections, neoplasm, and chemical meningitis. It has rarely been reported in neuroinflammatory conditions including as a finding of CSF cytology in two autoimmune glial fibrillary acidic protein (GFAP) astrocytopathy cases. Here we describe a case of autoimmune GFAP astrocytopathy with classic clinical and radiographic features as well as presence of eosinophils in the CSF. This case highlights a potential association of eosinophils in the CSF with autoimmune GFAP astrocytopathy, which may suggest its inclusion in the differential diagnosis of eosinophilic meningitis, encephalitis, or myelitis.
摘要:
脑脊液(CSF)嗜酸性粒细胞增多与狭窄的差异有关,主要包括寄生虫和真菌感染,肿瘤,和化学性脑膜炎.在神经炎症性疾病中很少有报道,包括在两个自身免疫性神经胶质纤维酸性蛋白(GFAP)星形细胞病病例中发现CSF细胞学。在这里,我们描述了一例自身免疫性GFAP星形细胞病,具有经典的临床和影像学特征以及CSF中嗜酸性粒细胞的存在。该病例强调了CSF中嗜酸性粒细胞与自身免疫性GFAP星形细胞病的潜在关联,这可能表明它包含在嗜酸性粒细胞性脑膜炎的鉴别诊断中,脑炎,或者脊髓炎.
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