Abstract:
PURPOSE:Anti-myelin oligodendrocyte glycoprotein antibodies (anti-MOG), directed against a component of the myelin sheath, are sometimes detected in the blood or cerebrospinal fluid (CSF) of patients with acute demyelinating conditions. Cortical encephalitic presentations in anti-MOG-antibody-positive patients are recognized but rare, and few pediatric cases have been described. METHODS:We describe clinical, biochemical, and MRI findings in two children presenting with generalized seizures due to cortical encephalitis, and review potential underlying immunological processes. RESULTS:In both patients, anti-MOG antibodies were detected. Both underwent MRI scans which demonstrated bilateral cortical swelling and T2/fluid-attenuated inversion recovery (FLAIR) hyperintensity with corresponding regions of reduced diffusion. CONCLUSION:Early detection of anti-MOG antibodies in patients with a similar presentation and imaging features would enable rapid institution of appropriate treatment, and potentially reduce the need for invasive diagnostic procedures such as brain biopsy.
journal_name
J Neuroljournal_title
Journal of neurologyauthors
Doig D,McNamara C,Mewasingh L,Beri S,Jones B,Kachramanoglou C,Jan Wdoi
10.1007/s00415-020-10260-4subject
Has Abstractpub_date
2020-10-14 00:00:00eissn
0340-5354issn
1432-1459pii
10.1007/s00415-020-10260-4pub_type
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