及时腹腔镜介入治疗卵巢肿瘤相关自身免疫性脑炎:越南屠都医院的一项挑战性病理学和文献综述。

IF 1.4 Q3 OBSTETRICS & GYNECOLOGY
Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-08-10 eCollection Date: 2023-07-01 DOI:10.4103/gmit.gmit_36_23
Thanh Hai Pham, Phuc Nhon Nguyen, Quang Nhat Ho
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引用次数: 0

摘要

一名先前健康的39岁女性因自身免疫性脑病和卵巢肿瘤并存而被我们的三级转诊医院收治。由于脑脊液中存在抗N-甲基-d-天冬氨酸受体(抗NMDAR),在排除其他病因后,首次提出诊断为抗NMDAR-脑炎。因此,立即进行了腹腔镜检查以切除卵巢肿瘤。组织学终点显示为卵巢畸胎瘤。因此,患者在昏迷状态下2个月后完全康复,健康状况良好。在此,我们报告了一例罕见的抗NMDAR脑炎合并卵巢畸胎瘤的病例,从而提高了医生的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Timely Laparoscopic Intervention for Ovarian Tumor-related Autoimmune Encephalitis: A Challenging Pathology at Tu Du Hospital in Vietnam and Literature Review.

Timely Laparoscopic Intervention for Ovarian Tumor-related Autoimmune Encephalitis: A Challenging Pathology at Tu Du Hospital in Vietnam and Literature Review.

A previously fit and healthy 39-year-old woman was admitted to our tertiary referral hospital with coexisting autoimmune encephalopathy and ovarian tumor. Due to the presence of anti-N-methyl-d-aspartate receptor (anti-NMDAR) in the cerebrospinal fluid, a diagnosis of anti-NMDAR encephalitis was first suggested after ruling out other etiologies. Thus, a laparoscopy was promptly performed to remove the ovarian tumor. The histological endpoint revealed an ovarian teratoma. Consequently, the patient recovered completely in good health condition after 2 months in a coma status. Herein, we report an uncommon case of anti-NMDAR encephalitis associated with ovarian teratoma at our hospital, thus raising awareness of physicians.

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来源期刊
CiteScore
2.00
自引率
16.70%
发文量
98
审稿时长
52 weeks
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