A case of MOG-IgG-associated brainstem encephalitis originating from hunt syndrome
- VernacularTitle:以Hunt综合征起病的MOG-IgG相关脑干脑炎1例报告
- Author:
Ya ZHANG
1
;
Yanhong DONG
1
Author Information
- Publication Type:Journal Article
- Keywords: Hunt syndrome; MOG-IgG; Brainstem encephalitis; Diagnosis; Treatment
- From: Journal of Apoplexy and Nervous Diseases 2023;40(9):848-850
- CountryChina
- Language:Chinese
- Abstract: Objective To improve clinicians' understanding of myelin oligodendrocyte glycoprotein-immunoglobulin G （MOG-IgG）-associated isolated brainstem encephalitis. Methods The clinical data of one case of MOG-IgG-associated brainstem encephalitis with Hunt syndrome were collected and retrospectively analyzed， and the relevant literature was searched， summarized， and discussed. Results The patient was a 24-year-old female who was admitted to the hospital mainly for more than 20 days of dizziness and incomplete left eyelid closure. After admission， she frequently suffered from intractable nausea and vomiting. After completing the examinations of head magnetic resonance， lumbar puncture， and electroneurography， and finding of positive serum MOG-IgG， she was diagnosed as having MOG-IgG-associated brainstem encephalitis. She was given methylprednisolone pulse therapy. The patient's symptoms were significantly relieved and did not recur. Conclusion MOG-IgG-associated isolated brainstem encephalitis is relatively rare in clinic， and its clinical manifestations are diverse. In this case， the lesion is relatively limited， and the symptoms are mild. Missed diagnosis and misdiagnosis easily occur. This case can improve clinicians' understanding of this disease， and provide a theoretical basis for timely treatment and good prognosis.
- Full text:2024061415584116015以Hunt综合征起病的MOG-IgG相关脑干脑炎1例报告.pdf
