Abstract:
BACKGROUND AND PURPOSE:The aim was to study the prevalence of epilepsy in a hospital-based systemic lupus erythematosus (SLE) cohort and to investigate the relationship between epilepsy and other manifestations of neuropsychiatric SLE (NPSLE). METHODS:The study population consisted of 440 SLE patients recruited from 1998 to 2012. An epilepsy-screening questionnaire was sent to all patients, where those screening positive were invited to a neurological examination with documentation of NPSLE symptoms according to the American College of Rheumatology nomenclature. Occurrences of autoantibodies (double stranded DNAantibody, antinuclear antibody, lupus anticoagulant, Sjögren's syndrome A, Sjögren's syndrome B) and the antiphospholipid syndrome (APS) were tabulated. RESULTS:Out of 440 patients, 14% were dead and 2.7% were lost to follow-up. The questionnaire was sent to 368 patients; 312 (85%) responded. Of these, 131 (42%) screened positive. Epilepsy was confirmed in 36 (11.5%), of whom 30 (83%) had focal onset. Ten (3.2%) patients had isolated or provoked seizures. Manifestations of NPSLE occurred in 50%. The rates of cerebrovascular disease and psychosis were elevated two- and three-fold in NPSLE patients with epilepsy versus NPSLE patients without epilepsy, respectively (P = 0.001 and P = 0.0006). APS was more common in patients with epilepsy compared to epilepsy-free SLE patients with or without NPSLE (P = 0.02). In 50% of patients with epilepsy, no other etiology than SLE was detected. CONCLUSIONS:A high prevalence of epilepsy in SLE patients is reported, with association to concurrent cerebrovascular disease, APS and psychosis. Our findings support the notion of a multifactorial background for epilepsy in SLE including both vascular disease and features consistent with autoimmunity.
journal_name
Eur J Neuroljournal_title
European journal of neurologyauthors
Hopia L,Andersson M,Svenungsson E,Khademi M,Piehl F,Tomson Tdoi
10.1111/ene.14077subject
Has Abstractpub_date
2020-02-01 00:00:00pages
297-307issue
2eissn
1351-5101issn
1468-1331journal_volume
27pub_type
杂志文章abstract:BACKGROUND AND PURPOSE:Interferon beta (IFNbeta) preparations have some effect on the progressive phase of multiple sclerosis (MS). This limited effect might be partially because of a certain number of IFNbeta non-responders. Myxovirus resistance protein A (MxA)--a marker of IFNbeta bioactivity--was correlated with the...
journal_title:European journal of neurology
pub_type: 临床试验,杂志文章
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更新日期:2008-08-01 00:00:00
abstract:BACKGROUND:Chronic progressive external ophthalmoplegia (CPEO) is a relatively common mitochondrial disorder. In addition to extraocular muscle weakness, various other organs can typically be affected, including laryngeal and limb muscles, cerebrum, cerebellum, and peripheral nerves. Given this multi-organ involvement,...
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journal_title:European journal of neurology
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doi:10.1046/j.1468-1331.2000.00139.x
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journal_title:European journal of neurology
pub_type: 杂志文章
doi:10.1111/j.1468-1331.1995.tb00141.x
更新日期:1995-09-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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journal_title:European journal of neurology
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journal_title:European journal of neurology
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doi:10.1111/ene.12341
更新日期:2014-04-01 00:00:00
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journal_title:European journal of neurology
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journal_title:European journal of neurology
pub_type: 杂志文章
doi:10.1111/ene.13513
更新日期:2018-02-01 00:00:00
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doi:10.1111/j.1468-1331.2009.02757.x
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doi:10.1111/ene.12186
更新日期:2013-09-01 00:00:00
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journal_title:European journal of neurology
pub_type: 杂志文章
doi:10.1111/ene.14097
更新日期:2020-03-01 00:00:00
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journal_title:European journal of neurology
pub_type: 杂志文章
doi:10.1111/j.1468-1331.2005.01047.x
更新日期:2005-09-01 00:00:00
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pub_type: 杂志文章
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journal_title:European journal of neurology
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1046/j.1468-1331.2001.00208.x
更新日期:2001-05-01 00:00:00
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pub_type: 杂志文章
doi:10.1111/j.1468-1331.2009.02859.x
更新日期:2010-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2005-12-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:2005-03-01 00:00:00
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journal_title:European journal of neurology
pub_type: 杂志文章,评审
doi:10.1111/j.1468-1331.2006.01447.x
更新日期:2006-02-01 00:00:00
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journal_title:European journal of neurology
pub_type: 杂志文章
doi:10.1111/j.1468-1331.2007.02038.x
更新日期:2008-03-01 00:00:00
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journal_title:European journal of neurology
pub_type: 杂志文章
doi:10.1111/ene.12845
更新日期:2016-02-01 00:00:00