Spontaneous remission of spasms in West syndrome - implications of viral infection

被引:36
作者
Hattori, H [1 ]
机构
[1] Kyoto Univ, Sch Med, Dept Pediat, Kyoto 6068507, Japan
关键词
West syndrome; neuroimmunology; cytokine; autoimmunity;
D O I
10.1016/S0387-7604(01)00278-9
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
On a database of the Japanese medical literature between 1970 and 2000, there were 29 patients with West syndrome showing spontaneous remission. In 25/29 (86%) of the patients, spontaneous remission was preceded by viral infections, among which exanthema subitum predominated. In 16/29 (55%), the spasms recurred a median of 2 months later. However, some of the remaining infants attained lasting remission of the spasms. This link between viral infections and spontaneous remission suggests immuno-inflammatory processes underlie West syndrome in certain patients. Better understanding of such mechanisms may lead to a new therapeutic approach to West syndrome. (C) 2001 Elsevier Science B.V. All rights reserved.
引用
收藏
页码:705 / 707
页数:3
相关论文
共 24 条
  • [11] KURATA S, 1970, NO TO HATTATSU TOKYO, V2, P315
  • [12] MITSUFUJI N, 1991, SHONIKA RINSHO TOKYO, V44, P99
  • [13] AUTOANTIBODIES TO GLUTAMATE-RECEPTOR GLUR3 IN RASMUSSENS ENCEPHALITIS
    ROGERS, SW
    ANDREWS, PI
    GAHRING, LC
    WHISENAND, T
    CAULEY, K
    CRAIN, B
    HUGHES, TE
    HEINEMANN, SF
    MCNAMARA, JO
    [J]. SCIENCE, 1994, 265 (5172) : 648 - 651
  • [14] Seki T., 1979, SHONIKA RINSHO TOKYO, V32, P2278
  • [15] Shimono M., 1998, NIHON SHONIKA GAKKAI, V102, P91
  • [16] SHIOTA Y, 1986, SHONIKA SHINRYO TOKY, V49, P2311
  • [17] SUZUKI M, 1976, SHONI NAIKI GEKA TOK, V8, P1409
  • [18] Takahashi H, 2000, TOKYO SHONIKA IKAIHO, V18, P39
  • [19] TAKAHASHI H, 1998, TENKAN KENKYU TOKYO, V16, P69
  • [20] WATANABE T, 2000, HOKKAIDO TENKAN KONW, V20, P19