连续脑电图监测在抗N-甲基-D-天冬氨酸受体脑炎中的临床应用价值  

Clinical value of continuous electroencephalographic monitoring in anti⁃N⁃methyl⁃D⁃aspartate receptor encephalitis

作　　者：邓会芳 王博[1] 孙婧 王钦鹏[1] 梁成[1] DENG Huifang;WANG Bo;SUN Jing;WANG Qinpeng;LIANG Cheng(ICU of Department of Neurology,The Second Hospital of Lanzhou University,Lanzhou,Gansu 730000,China)

机构地区：[1]兰州大学第二医院神经内科ICU,甘肃兰州730000

出　　处：《国际神经病学神经外科学杂志》2024年第4期65-68,共4页Journal of International Neurology and Neurosurgery

基　　金：甘肃省自然科学基金资助项目(2021‑0405‑JCC‑1549)。

摘　　要：抗N-甲基-D-天冬氨酸(NMDA)受体脑炎是一种罕见且严重的自身免疫性脑炎,主要依靠血清及脑脊液中检查到抗NMDA受体抗体确诊,但对其治疗效果和预后判断仍缺乏有效的监测指标。连续脑电图是一种临床上常用的监测大脑电活动的检查手段,易于操作且成本较低,在辅助抗NMDA受体脑炎患者的诊断、指导治疗及判断预后方面均有较高价值。Anti-N-methyl-D-aspartate(NMDA)receptor encephalitis is a rare and serious autoimmune encephalitis,which is mainly diagnosed based on the detection of anti-NMDA receptor antibodies in serum and cerebrospinal fluid,while there is still a lack of effective monitoring indicators for assessing its treatment outcome and prognosis.Continuous electroencephalography is a commonly used clinical test to monitor brain electrical activity and has the advantages of easy operation and low costs,showing a high value in assisting the diagnosis of anti-NMDA receptor encephalitis,guiding its treatment,and judging the prognosis of the patients.

关 键 词：连续脑电图 抗N-甲基-D-天冬氨酸受体脑炎 诊断 治疗 预后 

分 类 号：R741.044[医药卫生—神经病学与精神病学]