Miller Fisher Syndrome

Miller Fisher 综合征
  • 文章类型: Journal Article
    感染新的严重急性呼吸系统综合症冠状病毒2(SARS-CoV-2)导致以前未知的临床表现,它被称为COVID-19(2019年冠状病毒病),最早在中国湖北地区被描述。SARS-CoV-2大流行对医学的所有领域都有影响。它直接和间接地影响神经系统疾病的护理。SARS-CoV-2感染可能与脑病和脑脊髓炎等神经系统表现的发生率增加有关,缺血性中风和脑出血,嗅觉缺失和神经肌肉疾病。2020年10月,德国神经病学会(DGN,DeutscheGesellschaftfürNeurologie)发布了有关新感染的神经系统表现的第一份指南。本S1指南为SARS-CoV-2感染患者的神经系统表现提供了指导。有和没有SARS-CoV-2感染的神经系统疾病患者,以及对医护人员的保护。这是德国神经学会发布的指南的缩写版本,并在AWMF(科学医学协会工作组;ArbeitsgemeinschaftwissenschaftlicherMedizinischerFachgesellschaften)的指南存储库中发布。
    Infection with the new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) leads to a previously unknown clinical picture, which is known as COVID-19 (COrona VIrus Disease-2019) and was first described in the Hubei region of China. The SARS-CoV-2 pandemic has implications for all areas of medicine. It directly and indirectly affects the care of neurological diseases. SARS-CoV-2 infection may be associated with an increased incidence of neurological manifestations such as encephalopathy and encephalomyelitis, ischemic stroke and intracerebral hemorrhage, anosmia and neuromuscular diseases. In October 2020, the German Society of Neurology (DGN, Deutsche Gesellschaft für Neurologie) published the first guideline on the neurological manifestations of the new infection. This S1 guideline provides guidance for the care of patients with SARS-CoV-2 infection regarding neurological manifestations, patients with neurological disease with and without SARS-CoV-2 infection, and for the protection of healthcare workers. This is an abbreviated version of the guideline issued by the German Neurological society and published in the Guideline repository of the AWMF (Working Group of Scientific Medical Societies; Arbeitsgemeinschaft wissenschaftlicher Medizinischer Fachgesellschaften).
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    文章类型: Journal Article
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  • 文章类型: Journal Article
    在过去的几年里,许多出版物表明,致残小脑共济失调可能是通过免疫介导的机制发展的。在这份共识文件中,我们讨论了主要描述的免疫介导的小脑共济失调的临床特征,并探讨了其推测的发病机制。免疫介导的小脑共济失调包括与抗GAD抗体相关的小脑共济失调,小脑型桥本脑病,原发性自身免疫性小脑共济失调,面筋共济失调,MillerFisher综合征,与系统性红斑狼疮相关的共济失调,和副肿瘤小脑变性.体液机制,细胞介导的免疫,炎症,血管损伤导致免疫介导的小脑共济失调的小脑缺陷。
    In the last few years, a lot of publications suggested that disabling cerebellar ataxias may develop through immune-mediated mechanisms. In this consensus paper, we discuss the clinical features of the main described immune-mediated cerebellar ataxias and address their presumed pathogenesis. Immune-mediated cerebellar ataxias include cerebellar ataxia associated with anti-GAD antibodies, the cerebellar type of Hashimoto\'s encephalopathy, primary autoimmune cerebellar ataxia, gluten ataxia, Miller Fisher syndrome, ataxia associated with systemic lupus erythematosus, and paraneoplastic cerebellar degeneration. Humoral mechanisms, cell-mediated immunity, inflammation, and vascular injuries contribute to the cerebellar deficits in immune-mediated cerebellar ataxias.
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