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抗NMDAR脑炎致阵发性交感神经过度兴奋综合征1例及文献复习

Paroxysmal sympathetic hyperactivity syndrome induced by anti-NMDA receptor encephalitis:a case report and literatures review
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摘要 患者,男,25岁。因“发热13 d,意识障碍7 d”入院。2019年7月17日患者无明显诱因出现发热,伴头晕、头痛。7月24日因与他人斗殴致左上肢骨折,7月25日凌晨2:00出现双眼向上凝视、懒言,逐渐出现烦躁不安、胡言乱语。继而出现高热,最高时40.5℃,发作性抽搐,表现为意识丧失、双眼凝视、上肢屈曲,下肢、躯干强直,牙关紧咬,4~5次/d,晨时明显,持续2~3 min/次。
作者 邓晓江 林鑫 李妙丹 叶嗣颖 梁海鸥 周亮 Deng Xiaojiang;Lin Xin;Li Miaodan
出处 《疑难病杂志》 CAS 2021年第8期840-841,共2页 Chinese Journal of Difficult and Complicated Cases
基金 南方医科大学南方医院临床研究专项基金(2019CR004)。
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  • 2Dalmau J, Lancaster E, Martinez-Hernandez E, et al. Clinical experience and laboratory investigations in patients with anti- NMDAR encephalitis[J]. Lancet Neurol, 2011, 10(1): 63-74.
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  • 4Hinson HE, Takahashi C, Altowaijri G, et al. Anti- NMDA receptor encephalitis with paroxysmal sympathetic hyperactivity: an under-recognized association[J]. Clin Auton Res, 2013, 23(2): 109-111.
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