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MOG Antibody Positive Inflammatory Demyelinating Disease of Central Nervous System in 4 Cases and Literature Review

摘要


MOG-IgG associated disorders (MOGAD) are immune-mediated inflammatory demyelinating diseases of the central nervous system. The clinical manifestations include ON, myelitis, acute disseminated encephalomyelitis, brainstem encephalitis, etc. They are characterized by uniphase or recurrent course. It can lead to severe visual impairment, cognitive impairment, motor impairment, and bladder dysfunction. MOGAD is considered to be an independent disease entity distinct from Neuromyelitis Optica Spectrum Disorders (NMOSD), atypical multiple sclerosis, and acute dissemated encephalomyelitis. Myelin oligodendrocyte glycoprotein (MOG) antibody, aquaporin-4 (AQP-4) antibody, oligoclonal bands (OCB) and antibodies against autoimmune thyroid diseases is rarely reported. This paper reports the clinical characteristics of 4 patients with central nervous system inflammatory demyelinating disease with positive serum MOG antibodies admitted to the First Affiliated Hospital of Henan University of Science and Technology as follows, and reviews them in combination with relevant literature.

參考文獻


Jarius S, Paul F, Aktas O, et al. MOG encephalomyelitis: international recommendations on diagnosis and antibody testing[J]. Journal of neuroinflammation, 2018, 15(1):134-143.
Hamid SHM, Whittam D, Mutch K, et al. What proportion of AQP4-IgG-negative NMO spectrum disorder patients are MOG-IgG positive? A cross sectional study of 132 patients[J]. Journal of neurology, 2017, 264(10):2088-2094.
Spadaro M, Gerdes LA, Mayer MC, et al. Histopathology and clinical course of MOG-antibody-associated encephalomyelitis[J]. Annals of clinical and translational neurology, 2015, 2(3):295-301.
Lucchinetti CF, Guo Y, Popescu BFG, et al. The pathology of an autoimmune astrocytopathy: lessons learned from neuromyelitis optica[J]. Brain pathology (Zurich, Switzerland), 2014, 24(1):83-97.
Jurynczyk M, Messina S, Woodhall MR, et al. Clinical presentation and prognosis in MOG-antibody disease: a UK study[J]. Brain : a journal of neurology, 2017, 140(12):3128-3138.

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