Atypical Autoimmune Encephalitis With Neuropil Antibodies Against a Yet Unknown Epitope.

Abstract:

:Autoimmune encephalitis often causes acute psychiatric symptoms and epileptic seizures. However, it is becoming increasingly clear that depending on the target antigen both symptoms and disease severity may vary. Furthermore, the identification and characterization of antibody subtypes are highly relevant for personalizing the treatment and to prevent relapses. Here we present an atypical case of encephalitis with cerebellar and temporal dysfunction but without seizures associated with high levels of cerebrospinal fluid neuropil antibodies against a yet unknown epitope on the neuronal surface in the cerebellum, hippocampus, thalamus, and the olfactory bulb. We treated the patient successfully with corticosteroids, plasmapheresis, and rituximab.

journal_name

Front Neurol

journal_title

Frontiers in neurology

authors

Edwin Thanarajah S,Prüss H,Warnke C,Barbe MT,Schroeter M,Fink GR,Onur OA

doi

10.3389/fneur.2019.00175

subject

Has Abstract

pub_date

2019-03-05 00:00:00

pages

175

issn

1664-2295

journal_volume

10

pub_type

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