成功救治重症抗NMDA受体脑炎1例

Successful treatment of one case of severe anti-N-methyl-D-aspartate receptor encephalitis

抗NMDA（N-methyl-D-aspartate,N-甲基-D-天门冬氨酸）受体脑炎是一种自身免疫性、与抗NMDA受体抗体相关并且对治疗敏感的边缘叶脑炎,是一种以迅速进展的精神异常、癫痫发作、睡眠障碍、幻觉和短时记忆丧失为主要表现的副肿瘤综合征。抗NMDA受体脑炎的治疗包括免疫治疗和肿瘤切除等的联合治疗,发现肿瘤并尽早切除是治疗该病的关键,免疫治疗包括应用糖皮质激素、血浆置换、免疫球蛋白治疗等。

Anti-N-methyl-D-aspartate receptor encephalitis is a kind of immunity disease,which induced by rage,mostly strike young women,always with teramota.This disease possesses reversibility through timely and valid treatment.This article will report 1case of young woman＇s anti-NMDA-receptor encephalitis with teratoma,and discuss the onset age,clinical manifestations and treatment methods.