PT -期刊文章AU -原子力安全保安院Vorasoot盟Pilantana Saichua AU - Prapassara Sirikarn AU - Arunnit Boonrod AU - Narongrit Kasemsap AU - Kannikar Kongbunkiat AU - Somsak Tiamkao TI病因和相关因素的结果广泛纵向横向脊髓炎援助- 10.1212/01. wnl.0000903204.16114.2a DP - 2022在泰国12月05 TA -神经病学PG - S23 S24 VI - 99 IP - 23补充2 4099 - //www.ez-admanager.com/content/99/23_Supplement_2/S23.2.首页short 4100 - //www.ez-admanager.com/content/99/23_Supplement_2/S23.2.full所以Neurology2022 12月05;99 AB -本研究目的旨在评估的临床特征、病因和预后纵向广泛的横向脊髓炎(LETM)病人在泰国。背景LETM的病因多种多样,在每个地区都是不同的。适当的调查是至关重要的减少误诊,延误治疗,影响临床康复和预后。在泰国,没有临床研究LETM的病因。因此,我们的研究旨在评估的临床特征、病因和预后LETM病人在泰国。设计/方法患者诊断为LETM大学医院2015年1月至2021年10月被包括在内。病人人口特征、临床表现、扩大残疾状态量表(eds)、采、实验室测试、脑脊液概要文件,最终诊断和治疗记录。LETM的结果有关的因素进行了分析。结果共40例,有21个女性(52.5%),发病的平均年龄为48.4岁(SD = 15.8)。的最常见的病因是NMOSD LETM (n = 15),其次是感染(n = 5),系统性红斑狼疮(n = 5)特发性原因(n = 4),独联体(n = 3),女士(n = 1),脊髓硬膜动静脉(n = 2),亚当(n = 2),要么1脊髓梗死,神经鞘瘤,维生素B12缺乏症。 Most patients in this study had severe LETM (n = 31). Complete cord had significantly poorer outcome (p-value = 0.003), while dorsolateral and anterior cord had better outcome (p-value = 0.046, 0.046).Conclusions NMOSD was the most common etiology of LETM, and a history of prior attacks led to the diagnosis of NMOSD. Complete cord lesion on axial spinal cord MRI was sensitive to NMOSD but not specifically. Factors related to the prognosis of LETM included completed cord lesions on MRI axial view trended to have a poor outcome, and dorsolateral and anterior cord lesions had a better prognosis.

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