重症自身免疫性脑炎监测与治疗中国专家共识(2024版)  

Chinese expert consensus on the monitoring and treatment of severe autoimmune encephalitis(2024 edition)

作　　者：中华医学会神经病学分会 中华医学会神经病学分会神经重症协作组 潘速跃[2] 曾进胜[3] 王拥军[4] Chinese Society of Neurology;Neurocritical Care Committee of the Chinese Society of Neurology;Pan Suyue;Zeng Jinsheng;Wang Yongjun(不详;Department of Neurology,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China;Department of Neurology,the First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510080,China;Department of Neurology,Beijing Tiantan Hospital,Capital Medical University,China National Clinical Research Center for Neurological Diseases,Beijing 100070,China)

机构地区：[1]不详 [2]南方医科大学南方医院神经内科,广州510515 [3]中山大学附属第一医院神经内科,广州510080 [4]首都医科大学附属北京天坛医院神经内科国家神经系统疾病临床医学研究中心,北京100070

出　　处：《中华神经科杂志》2024年第10期1075-1089,共15页Chinese Journal of Neurology

摘　　要：自身免疫性脑炎是一种常见的神经系统危重症。目前国内外尚无针对重症自身免疫性脑炎的共识,中华医学会神经病学分会神经重症协作组组织相关专家基于循证医学证据,结合中国医疗现状制订《重症自身免疫性脑炎监测与治疗中国专家共识(2024版)》。其主要内容包括重症自身免疫性脑炎的定义、病情评估、免疫治疗、肿瘤切除、癫痫发作、运动障碍、自主神经功能障碍、紧张症的监测和对症治疗及预后评估9个部分。Autoimmune encephalitis usually presents as a critical neurological disorder.Currently,there is no consensus on the management of severe autoimmune encephalitis both domestically and internationally.In order to address this gap,the Neurocritical Care Committee of the Chinese Society of Neurology organized relevant experts to develop the"Chinese expert consensus on the monitoring and treatment of severe autoimmune encephalitis(2024 edition)",which is based on the current available evidence and the realities of clinical practice in China.The main components of this consensus encompass 9 sections related to severe autoimmune encephalitis:the definition,disease assessment scale,immunotherapy,tumor resection,monitoring and symptomatic treatment of seizure,movement disorders,autonomic dysfunction and catatonia,as well as prognosis.

关 键 词：神经系统自身免疫疾病 脑炎 癫痫 癫痫持续状态 紧张症 运动障碍 

分 类 号：R742.9[医药卫生—神经病学与精神病学]