Neurology:小脑体积与结节性硬化症神经发育水平相关

2018-03-25 zhangfan MedSci原创

研究认为浦肯野细胞变性反映的小脑体积萎缩是2型结节性硬化症患儿神经发育异常的重要预测指标

近日研究人员通过对1岁左右结节性硬化症(TSC)患儿进行研究,校正小脑结构体积与神经发育水平之间的关系。

研究对TSC患儿脑生物标志资料进行前瞻性分析,TSC1或TSC2突变患儿参与研究,利用MRI考察患儿左右小脑白质、左右小脑外侧、小脑外叶Ⅰ-V、维管小叶VI-VII和小脑小叶VIII-X的相对脑组织体积,将影像结果与马伦早期学习能力评估量表(MSEL)相关联。

70名患儿参与研究,平均年龄1.03岁,TSC1突变11人,TSC2突变59人。对于TSC2 突变患儿,总小脑体积每增加1%,MSEL得分增加10。对于TSC1 突变患儿,总小脑体积与MSEL得分无显著相关性。对于TSC2患儿,回归表达语言和视觉接受能力与小脑结构体积正相关(p ≤ 0.29),回归接受性语言能力、总体运动技能和良好的运动技能与小脑右/左外侧体积正相关 (p ≤ 0.014)。

研究认为浦肯野细胞变性反映的小脑体积萎缩是2型结节性硬化症患儿神经发育异常的重要预测指标。

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    2019-02-11 yinhl1978
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    2018-11-11 fengxx
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  5. 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    2018-03-28 Jackie Li

    学习

    0

  6. 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  7. 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content=学习谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Sun Mar 25 09:26:35 CST 2018, time=2018-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=299471, encodeId=aaf82994e158, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRkia1DP5MpwEgtXo1XhXA11xD6MWKxunAZFXKSNic0fWHUQx83oNHPlRMxxIctM83QKeCLkJpMibibiaC/0, createdBy=7e581734408, createdName=深海的鱼, createdTime=Sun Mar 25 07:40:35 CST 2018, time=2018-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=299469, encodeId=c954299469fb, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJpBl6xwMmnsKibwxcAIltOH3nnCEQbNE6TDbYtCKe8hYI0oJrbduNqnJraM1PyyjPKU1suAzicYPaA/132, createdBy=eeaf2031798, createdName=海之蓝, createdTime=Sun Mar 25 07:39:37 CST 2018, time=2018-03-25, status=1, ipAttribution=)]
    2018-03-26 neurowu
  8. [GetPortalCommentsPageByObjectIdResponse(id=2000372, encodeId=682c20003e211, content=<a href='/topic/show?id=d5df12695e6' target=_blank style='color:#2F92EE;'>#Neurol#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=12695, encryptionId=d5df12695e6, topicName=Neurol)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=8217292, createdName=yinhl1978, createdTime=Mon Feb 11 18:53:00 CST 2019, time=2019-02-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1751360, encodeId=22601e5136066, content=<a href='/topic/show?id=da2e8469e76' target=_blank style='color:#2F92EE;'>#脑体积#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=84697, encryptionId=da2e8469e76, topicName=脑体积)], attachment=null, authenticateStatus=null, createdAvatar=null, 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content=学习谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Sun Mar 25 09:26:35 CST 2018, time=2018-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=299471, encodeId=aaf82994e158, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRkia1DP5MpwEgtXo1XhXA11xD6MWKxunAZFXKSNic0fWHUQx83oNHPlRMxxIctM83QKeCLkJpMibibiaC/0, createdBy=7e581734408, createdName=深海的鱼, createdTime=Sun Mar 25 07:40:35 CST 2018, time=2018-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=299469, encodeId=c954299469fb, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJpBl6xwMmnsKibwxcAIltOH3nnCEQbNE6TDbYtCKe8hYI0oJrbduNqnJraM1PyyjPKU1suAzicYPaA/132, createdBy=eeaf2031798, createdName=海之蓝, createdTime=Sun Mar 25 07:39:37 CST 2018, time=2018-03-25, status=1, ipAttribution=)]
    2018-03-25 龙胆草

    学习谢谢分享

    0

  9. 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content=学习谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Sun Mar 25 09:26:35 CST 2018, time=2018-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=299471, encodeId=aaf82994e158, content=学习学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRkia1DP5MpwEgtXo1XhXA11xD6MWKxunAZFXKSNic0fWHUQx83oNHPlRMxxIctM83QKeCLkJpMibibiaC/0, createdBy=7e581734408, createdName=深海的鱼, createdTime=Sun Mar 25 07:40:35 CST 2018, time=2018-03-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=299469, encodeId=c954299469fb, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJpBl6xwMmnsKibwxcAIltOH3nnCEQbNE6TDbYtCKe8hYI0oJrbduNqnJraM1PyyjPKU1suAzicYPaA/132, createdBy=eeaf2031798, createdName=海之蓝, createdTime=Sun Mar 25 07:39:37 CST 2018, time=2018-03-25, status=1, ipAttribution=)]
    2018-03-25 深海的鱼

    学习学习学习

    0

  10. 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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=299469, encodeId=c954299469fb, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=55, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJpBl6xwMmnsKibwxcAIltOH3nnCEQbNE6TDbYtCKe8hYI0oJrbduNqnJraM1PyyjPKU1suAzicYPaA/132, createdBy=eeaf2031798, createdName=海之蓝, createdTime=Sun Mar 25 07:39:37 CST 2018, time=2018-03-25, status=1, ipAttribution=)]
    2018-03-25 海之蓝

    学习

    0

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对于这名患者,医务人员推荐低盐摄入,严格控制血压(130/80mmHg),每天服用5毫克氨氯地平,避免非甾体类抗炎药。一年后,该患者肾功能稳定,皮肤表现无进展。

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*结节性硬化症(tubemus sclerosis complex,TSC)是一种以全身多器官血管平滑肌脂肪瘤(angiomyolipomas,AML)病变为特征的常染色体显性遗传性疾病。

2017 基于影像学的与结节性硬化症相关的血管平滑肌脂肪瘤的诊断和管理建议

结节性硬化症是一种由TSC1或TSC2基因突变引起的罕见的遗传性疾病,在结节性硬化症(TSC)患者中,有高达80%的患者患有肾血管平滑肌脂肪瘤。本文是由多学科专家小组基于当前最新证据和专家经验提出的管理建议,内容涉及典型的非典型或脂肪性结节性硬化症相关肾血管平滑肌脂肪瘤影像学诊断和随访等。

Lancet:依维莫司还可以治疗癫痫?(EXIST-3)

依维莫司,哺乳动物雷帕霉素靶蛋白(mTOR)抑制剂,已被用于伴结节性硬化症的各种良性肿瘤。我们对结节性硬化症患者进行了研究,比价依维莫司 vs 安慰剂辅助治疗难治性局灶性癫痫发作的有效性和安全性。研究中的依维莫司分为低剂量(3–7 ng/mL)和高剂量组(9–15 ng/mL)。 这项3期、随机、双盲、安慰剂对照研究,从25个国家的99个中心,纳入了2岁–65年的结节性硬化症和难治性癫痫患者

FDA批准依维莫司治疗结节性硬化症相关性肾肿瘤

       2012年4月26日,诺华公司与美国食品药品管理局(FDA)宣布,已批准Afinitor(依维莫司)用于治疗结节性硬化症(TSC)患者的不必立即手术的肾血管平滑肌脂肪瘤。该药的申请得到了FDA的优先审查,后者适用于带来重要进展的药物或目前无法有效治疗的疾病的新治疗手段。        Afini