临床资料 | 合计(31例) | 死亡(14例) | 存活(17例) | P值 |
男性(例) | 22 (71%) | 9 (64.3%) | 13 (76.5%) | 0.693a |
发病年龄(岁) | 64 (57, 68) | 67 (59, 68) | 60 (55, 66) | 0.311b |
合并肿瘤 | 15 (48.4%) | 12 (85.7%) | 3 (17.6%) | <0.001a |
临床表现 |
|
|
|
|
癫痫发作 | 25 (80.6%) | 12 (85.7%) | 13 (76.5%) | 0.664a |
癫痫持续状态 | 11 (35.5%) | 6 (42.9%) | 5 (33.3%) | 0.477a |
认知障碍 | 21 (67.7%) | 10 (71.4%) | 11 (64.7%) | 1.000a |
精神行为异常 | 11 (35.5%) | 4 (28.6%) | 7 (41.2%) | 0.707a |
意识障碍 | 22 (71%) | 12 (85.7%) | 10 (58.8%) | 0.132a |
运动障碍/不自主运动 | 4 (12.9%) | 1 (7.1%) | 3 (17.6%) | 0.607a |
语言障碍 | 4 (12.9%) | 2 (14.3%) | 2 (11.8%) | 1.000a |
睡眠障碍 | 9 (29%) | 2 (14.3%) | 7 (41.2%) | 0.101a |
感染性发热 | 7 (22.6%) | 6 (42.9%) | 1 (5.9%) | 0.028a |
脑电图异常 | 11 (35.5%) | 5 (35.7%) | 6 (35.3%) | 1.000a |
脑MRI异常 | 15 (48.4%) | 6 (42.9%) | 9 (52.9%) | 0.722a |
脑脊液压力增高 | 8 (27.6%) | 3 (21.4%) | 5 (33.3%) | 0.682a |
脑脊液白细胞增高 | 21 (70%) | 10 (71.4%) | 11 (68.8%) | 1.000a |
脑脊液抗体滴度 |
|
|
| 0.020a |
阴性 | 2 (6.5%) | 2 (11.8%) | 0 (0%) | 0.138a |
+ | 12 (38.7%) | 3 (21.4%) | 9 (52.9%) | 0.488a |
++ | 5 (16.1%) | 5 (35.7%) | 0 (0%) | 0.012a |
+++ | 12 (38.7%) | 6 (42.9%) | 6 (35.5%) | 0.724a |
血清抗体滴度 |
|
|
| 0.011a |
+ | 10 (32.3%) | 1 (7.1%) | 9 (52.9%) | 0.009a |
++ | 9 (29%) | 7 (50%) | 2 (11.8%) | 0.044a |
+++ | 12 (38.7%) | 6 (42.9%) | 6 (35.3%) | 0.724a |
发病至免疫治疗的时间(天) | 12 (9, 19) | 10 (13, 17) | 11 (6, 20) | 0.973c |
激素冲击 | 26 (83.9%) | 12 (85.7%) | 14 (82.4%) | 1.000a |
激素冲击 + IVIG | 21 (67.7%) | 8 (57.1%) | 13 (76.5%) | 0.441a |
免疫维持治疗时间(月) | 5 (3, 7) | 5.5 (3, 6) | 4 (3, 7) | 0.857b |