A score that predicts 1-year functional status in patients with anti-NMDA receptor encephalitis.

Abstract:

OBJECTIVE:To construct a grading score that predicts neurologic function 1 year after diagnosis of anti-NMDA receptor (NMDAR) encephalitis. METHODS:Three hundred eighty-two patients with detailed information and functional status at 1 year were studied. Factors associated with poor status (defined as modified Rankin Scale score ≥3) were identified and incorporated into a multivariate logistic regression model. This model was used to develop a 5-point prediction score, termed the anti-NMDAR Encephalitis One-Year Functional Status (NEOS) score. RESULTS:Intensive care unit admission (p < 0.001), treatment delay >4 weeks (p = 0.012), lack of clinical improvement within 4 weeks (p < 0.001), movement disorder (p = 0.001), central hypoventilation (p < 0.001), elevated CSF white blood cell count (p < 0.001), elevated CSF protein level (p = 0.027), and abnormal MRI (p = 0.002) were associated with 1-year functional status in univariate analysis. Intensive care unit admission, treatment delay >4 weeks, lack of clinical improvement within 4 weeks, abnormal MRI, and CSF white blood cell count >20 cells/μL were independent predictors for outcome in multivariate regression modeling. These 5 variables were assigned 1 point each to create the NEOS score. NEOS score strongly associated with the probability of poor functional status at 1 year (3% for 0 or 1 point to 69% for 4 or 5 points, p < 0.001). CONCLUSIONS:The NEOS score accurately predicts 1-year functional status in patients with anti-NMDAR encephalitis. This score could help estimate the clinical course following diagnosis and may aid in identifying patients who could benefit from novel therapies.

journal_name

Neurology

journal_title

Neurology

authors

Balu R,McCracken L,Lancaster E,Graus F,Dalmau J,Titulaer MJ

doi

10.1212/WNL.0000000000006783

subject

Has Abstract

pub_date

2019-01-15 00:00:00

pages

e244-e252

issue

3

eissn

0028-3878

issn

1526-632X

pii

WNL.0000000000006783

journal_volume

92

pub_type

杂志文章
  • Markers of immune activation and viral load in HIV-associated sensory neuropathy.

    abstract:BACKGROUND:HIV infection is associated with a painful distal sensory polyneuropathy (DSP) that can severely limit the quality of life of affected subjects. The pathogenesis of DSP is unknown, although both HIV proteins and products of immune activation triggered by HIV infection have been implicated. OBJECTIVE:To asse...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.WNL.0000152981.32057.BB

    authors: Schifitto G,McDermott MP,McArthur JC,Marder K,Sacktor N,McClernon DR,Conant K,Cohen B,Epstein LG,Kieburtz K,NEAD Consortium.

    更新日期:2005-03-08 00:00:00

  • Friedreich's disease: V. Variant form with vitamin E deficiency and normal fat absorption.

    abstract::A 30-year-old woman was thought to have Friedreich's disease because of progressive ataxia, dysarthria, and titubation from age 3 years. Her diet was normal, and there were neither symptoms nor laboratory evidence of liver disease or fat malabsorption. Serum vitamin E content and the ratio of serum vitamin E to total ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.1.68

    authors: Stumpf DA,Sokol R,Bettis D,Neville H,Ringel S,Angelini C,Bell R

    更新日期:1987-01-01 00:00:00

  • Paraneoplastic opsoclonus-myoclonus associated with anti-Hu antibody.

    abstract::We report a 74-year-old woman with opsoclonus, myoclonus, ataxia, and encephalopathy who had small-cell lung cancer and high titers of anti-Hu antibody in her serum. At autopsy, there were perivascular inflammatory infiltrates in the brainstem, putamen, and meninges overlying the orbital frontal cortex. Immunohistoche...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.44.9.1754

    authors: Hersh B,Dalmau J,Dangond F,Gultekin S,Geller E,Wen PY

    更新日期:1994-09-01 00:00:00

  • Prevalence of medically diagnosed dementia in a defined United States population: Rochester, Minnesota, January 1, 1975.

    abstract::Using the centralized diagnostic data resource for the population of Rochester, Minnesota, we determined the prevalence of medically diagnosed dementia for this community. There were 289 individuals with dementia who were residing in Rochester on January 1, 1975: 208 women and 81 men. The overall age- and sex-adjusted...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.6.773

    authors: Kokmen E,Beard CM,Offord KP,Kurland LT

    更新日期:1989-06-01 00:00:00

  • Myasthenic congenital myopathy from recessive mutations at a single residue in NaV1.4.

    abstract:OBJECTIVE:To identify the genetic and physiologic basis for recessive myasthenic congenital myopathy in 2 families, suggestive of a channelopathy involving the sodium channel gene, SCN4A. METHODS:A combination of whole exome sequencing and targeted mutation analysis, followed by voltage-clamp studies of mutant sodium ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000007185

    authors: Elia N,Palmio J,Castañeda MS,Shieh PB,Quinonez M,Suominen T,Hanna MG,Männikkö R,Udd B,Cannon SC

    更新日期:2019-03-26 00:00:00

  • Diagnosis of thymoma in myasthenics using anti-striated muscle antibodies: predictive value and gain in diagnostic certainty.

    abstract::Assay of anti-striated muscle antibodies (StrAb) is used as a diagnostic test for thymoma in individuals with myasthenia gravis. Unfortunately, false positive results are common, and their effect on test accuracy is magnified by the relatively low frequency of thymoma in myasthenics. We estimated the predictive values...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.41.4.520

    authors: Lanska DJ

    更新日期:1991-04-01 00:00:00

  • Coexistence of Lambert-Eaton myasthenic syndrome and subacute cerebellar degeneration: differential effects of treatment.

    abstract::A 61-year-old woman presented with two paraneoplastic neurologic disorders--Lambert-Eaton myasthenic syndrome (LEMS) and subacute cerebellar degeneration (SCD)--that antedated the diagnosis of small-cell carcinoma of the lung by 15 months. Plasmapheresis initiated before the identification of the tumor had a beneficia...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.41.10.1682

    authors: Blumenfeld AM,Recht LD,Chad DA,DeGirolami U,Griffin T,Jaeckle KA

    更新日期:1991-10-01 00:00:00

  • Human muscle proteins: analysis by two-dimensional electrophoresis.

    abstract::Proteins from single frozen sections of human muscle were separated by two-dimensional gel electrophoresis and detected by fluorography or Coomassie Blue staining. The major proteins were identical in different normal muscles obtained from either sex at different ages, and in Duchenne and myotonic dystrophy samples. C...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.33.9.1152

    authors: Giometti CS,Danon MJ,Anderson NG

    更新日期:1983-09-01 00:00:00

  • Bid signal pathway components are identified in the temporal cortex with Parkinson disease.

    abstract:OBJECTIVE:Parkinson disease (PD), a devastating neurodegenerative disorder, affects motor abilities and cognition as well. It is not clear whether the proapoptotic protein, Bid, is involved in tumor necrosis factor death receptor I (TNFRI)-mediated destructive signal transduction pathways such as cell dysfunction or ne...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3182703f76

    authors: Jiang H,He P,Adler CH,Shill H,Beach TG,Li R,Shen Y

    更新日期:2012-10-23 00:00:00

  • Association of amyloid-β CSF/PET discordance and tau load 5 years later.

    abstract:OBJECTIVE:To investigate the association between discordant β-amyloid (Aβ) PET and CSF biomarkers at baseline and the emergence of tau pathology 5 years later. METHODS:We included 730 Alzheimer's Disease Neuroimaging Initiative (ADNI) participants without dementia (282 cognitively normal, 448 mild cognitive impairment...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000010739

    authors: Reimand J,Collij L,Scheltens P,Bouwman F,Ossenkoppele R,Alzheimer's Disease Neuroimaging Initiative.

    更新日期:2020-11-10 00:00:00

  • Modulation of the renin-angiotensin-aldosterone system for the secondary prevention of stroke.

    abstract::Recurrent stroke is a major public health concern and new treatment strategies are needed. While modulation of the renin angiotensin aldosterone system (RAAS) has proven effective in reducing recurrent cardiac events, its role in preventing recurrent cerebrovascular events remains unclear. RAAS is both a circulating a...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/01.wnl.0000130360.21618.d0

    authors: Sokol SI,Portnay EL,Curtis JP,Nelson MA,Hebert PR,Setaro JF,Foody JM

    更新日期:2004-07-27 00:00:00

  • Rapsyn mutations in hereditary myasthenia: distinct early- and late-onset phenotypes.

    abstract::Rapsyn mutations in 16 unrelated patients with a congenital/hereditary myasthenic syndrome were identified, and a mutation (N88K) common to each of them was found. Two distinct phenotypes were noted: early and late onset. The former is frequently associated with arthrogryposis multiplex congenita and life-threatening ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000085865.55513.ae

    authors: Burke G,Cossins J,Maxwell S,Owens G,Vincent A,Robb S,Nicolle M,Hilton-Jones D,Newsom-Davis J,Palace J,Beeson D

    更新日期:2003-09-23 00:00:00

  • Serial study of gadolinium-DTPA MRI enhancement in multiple sclerosis.

    abstract::We performed serial baseline and gadolinium (Gd)-DTPA-enhanced MRI in 4 patients with definite multiple sclerosis. Studies were performed every month for a total of 4 scans. We obtained short TR/short TE sequences at 10 and 60 minutes after Gd-DTPA injection. All patients had multiple hyperintense lesions seen on base...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.4.591

    authors: Bastianello S,Pozzilli C,Bernardi S,Bozzao L,Fantozzi LM,Buttinelli C,Fieschi C

    更新日期:1990-04-01 00:00:00

  • Association between waking EEG slowing and REM sleep behavior disorder in PD without dementia.

    abstract:OBJECTIVE:To compare nondemented patients with Parkinson's disease (PD) with and without REM sleep behavior disorder (RBD) to healthy controls on quantitative EEG characteristics for both wakefulness and REM sleep. METHODS:Fifteen patients with PD (7 patients with polysomnographic-confirmed RBD [PD-RBD] and 8 patients...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000106460.34682.e9

    authors: Gagnon JF,Fantini ML,Bédard MA,Petit D,Carrier J,Rompré S,Décary A,Panisset M,Montplaisir J

    更新日期:2004-02-10 00:00:00

  • Efficacy of treatment of MS with IFNbeta-1b or glatiramer acetate by monthly brain MRI in the BECOME study.

    abstract:BACKGROUND:There are no published MRI studies comparing interferon beta 1b (IFNbeta-1b) and glatiramer acetate (GA) for treatment of relapsing multiple sclerosis (MS). OBJECTIVE:To compare the efficacy of IFNbeta-1b and GA for suppression of MS disease activity as evidenced on frequent brain MRI. METHODS:A total of 7...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/01.wnl.0000345970.73354.17

    authors: Cadavid D,Wolansky LJ,Skurnick J,Lincoln J,Cheriyan J,Szczepanowski K,Kamin SS,Pachner AR,Halper J,Cook SD

    更新日期:2009-06-09 00:00:00

  • Detection and cellular localization of enterovirus RNA sequences in spinal cord of patients with ALS.

    abstract:OBJECTIVE:To investigate the possible association of persistent enterovirus (EV) infection with the development of ALS. BACKGROUND:Although ALS is a clinically well-defined motor neuron disease, little is known about the etiology and pathogenesis of the sporadic cases. Among the different causes that have been hypothe...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.54.1.20

    authors: Berger MM,Kopp N,Vital C,Redl B,Aymard M,Lina B

    更新日期:2000-01-11 00:00:00

  • Altered lysosomal proteins in neural-derived plasma exosomes in preclinical Alzheimer disease.

    abstract:OBJECTIVE:Diverse autolysosomal proteins were quantified in neurally derived blood exosomes from patients with Alzheimer disease (AD) and controls to investigate disordered neuronal autophagy. METHODS:Blood exosomes obtained once from patients with AD (n = 26) or frontotemporal dementia (n = 16), other patients with A...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000001702

    authors: Goetzl EJ,Boxer A,Schwartz JB,Abner EL,Petersen RC,Miller BL,Kapogiannis D

    更新日期:2015-07-07 00:00:00

  • The psychosocial aspects of narcolepsy.

    abstract::Although referrals for narcolepsy are increasing, physicians continue to confront obstacles in diagnosing and treating this condition. Patients with narcolepsy also face challenges at work, at school, and at home. One of the more disturbing problems is the lack of public awareness of the disorder and its potential the...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.50.2_suppl_1.s27

    authors: Douglas NJ

    更新日期:1998-02-01 00:00:00

  • Cerebral air embolism complicating cardiac ablation procedures.

    abstract::Two patients with similar courses of neurologic impairment and subsequent recovery after cerebral air embolism complicating cardiac ablation procedures are described. Hyperbaric oxygen therapy, combined with aggressive resuscitative efforts, appears to have contributed to each patient's recovery. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.56.6.792

    authors: Hinkle DA,Raizen DM,McGarvey ML,Liu GT

    更新日期:2001-03-27 00:00:00

  • Hereditary neuropathy with upper motor-neuron, visual pathway, and autonomic disorders.

    abstract::A 42-year-old man had progressive distal weakness and muscle atrophy, stocking-type sensory loss, upper motor-neuron and visual pathway lesions, and dysautonomia. Electrodiagnostic tests revealed a generalized sensorimotor peripheral neuropathy that largely involved axons. Low recumbent and upright norepinephrine leve...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.33.11.1495

    authors: Rechthand E,Reife R,Kaplan JG

    更新日期:1983-11-01 00:00:00

  • Acute effects of acetazolamide in hyperkalemic periodic paralysis.

    abstract::We studied the effect of acetazolamide on plasma potassium in normals and in two patients with hyperkalemic periodic paralysis. Administration of acetazolamide for 48 hours lowered mean plasma potassium in normals from 4.01 to 3.56 mEq per liter (p less than 0.001) and in the patients from 4.55 to 4.00 mEq per liter (...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.31.6.725

    authors: Riggs JE,Griggs RC,Moxley RT 3rd,Lewis ED

    更新日期:1981-06-01 00:00:00

  • Hypertensive Disorders of Pregnancy and Cognitive Impairment: A Prospective Cohort Study.

    abstract:OBJECTIVE:To determine the association between hypertensive disorders of pregnancy (HDP) and cognitive impairment 15 years after pregnancy, we measured cognitive performance in 115 women with a history of HDP and in 481 women with a previous normotensive pregnancy. METHODS:This was a nested cohort study embedded in a ...

    journal_title:Neurology

    pub_type: 评论,杂志文章

    doi:10.1212/WNL.0000000000011363

    authors: Adank MC,Hussainali RF,Oosterveer LC,Ikram MA,Steegers EAP,Miller EC,Schalekamp-Timmermans S

    更新日期:2021-02-02 00:00:00

  • Tissue inhibitor metalloproteinase-1 and clinical outcomes after acute ischemic stroke.

    abstract:OBJECTIVE:To prospectively investigate the relationships between serum tissue inhibitor metalloproteinase-1 (TIMP-1) and clinical outcomes in patients with acute ischemic stroke. METHODS:We derived data from the China Antihypertensive Trial in Acute Ischemic Stroke. Baseline serum TIMP-1 concentrations were measured i...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000008389

    authors: Zhong C,Wang G,Xu T,Zhu Z,Guo D,Zheng X,Wang A,Bu X,Peng H,Chen J,Xu T,Peng Y,Li Q,Ju Z,Geng D,He J,Zhang Y

    更新日期:2019-10-29 00:00:00

  • Treating melancholia at home: theoretical wisdom and grim reality in the career of E.C. Seguin.

    abstract::E.C. Seguin was one of the early, influential 19th-century neurologists who participated in the development of neurology as a specialty in the United States. Born in France, but raised from early childhood in the United States, Seguin published widely, developed a high-profile New York City practice, and was named Cli...

    journal_title:Neurology

    pub_type: 传,历史文章,杂志文章

    doi:10.1212/WNL.0b013e3182904f55

    authors: Goetz CG,Harter DH

    更新日期:2013-04-30 00:00:00

  • Unrecognized preclinical Alzheimer disease confounds rs-fcMRI studies of normal aging.

    abstract:OBJECTIVE:To determine whether, and to what degree, preclinical Alzheimer disease (AD) confounds studies of healthy aging where "healthy" is based on cognitive normality alone. METHODS:We examined the effects of preclinical AD in cognitively normal older individuals using resting-state functional connectivity MRI. We ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000939

    authors: Brier MR,Thomas JB,Snyder AZ,Wang L,Fagan AM,Benzinger T,Morris JC,Ances BM

    更新日期:2014-10-28 00:00:00

  • The video head impulse test: diagnostic accuracy in peripheral vestibulopathy.

    abstract:BACKGROUND:The head impulse test (HIT) is a useful bedside test to identify peripheral vestibular deficits. However, such a deficit of the vestibulo-ocular reflex (VOR) may not be diagnosed because corrective saccades cannot always be detected by simple observation. The scleral search coil technique is the gold standar...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e3181bacf85

    authors: MacDougall HG,Weber KP,McGarvie LA,Halmagyi GM,Curthoys IS

    更新日期:2009-10-06 00:00:00

  • Morphometry of dermal nerve fibers in human skin.

    abstract:OBJECTIVE:We aimed to assess the innervation density of dermal nerves in human skin biopsies by bright-field immunohistochemistry. METHODS:The size of dermal area where nerve length was quantified was validated in 30 skin biopsy sections (5 controls and 5 patients with small-fiber neuropathy [SFN]). It was obtained di...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e318225ab51

    authors: Lauria G,Cazzato D,Porretta-Serapiglia C,Casanova-Molla J,Taiana M,Penza P,Lombardi R,Faber CG,Merkies IS

    更新日期:2011-07-19 00:00:00

  • Reactive microglia are positive for HLA-DR in the substantia nigra of Parkinson's and Alzheimer's disease brains.

    abstract::We detected large numbers of HLA-DR-positive reactive microglia (macrophages), along with Lewy bodies and free melanin, in the substantia nigra of all cases studied with Parkinson's disease (5) and parkinsonism with dementia (PD) (5). We found similar, but less extensive, pathology in the substantia nigra of six of ni...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.8.1285

    authors: McGeer PL,Itagaki S,Boyes BE,McGeer EG

    更新日期:1988-08-01 00:00:00

  • Multifocal motor neuropathy with and without conduction block: a single entity?

    abstract:OBJECTIVE:To assess if multifocal motor neuropathy (MMN) with and MMN without conduction block (CB) are similar or distinct diseases. METHODS:The authors reviewed the clinical features and responses to IV immunoglobulin (IVIg) treatment of patients with MMN with and without CB at diagnosis, after 4 years of follow-up ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000234063.51897.20

    authors: Delmont E,Azulay JP,Giorgi R,Attarian S,Verschueren A,Uzenot D,Pouget J

    更新日期:2006-08-22 00:00:00

  • The impact of lesion side on acute stroke treatment.

    abstract:BACKGROUND:Only a small percentage of patients with acute stroke are treated with recombinant tissue plasminogen activator (rt-PA). OBJECTIVE:To investigate why patients with right-hemisphere strokes seem at high risk of not receiving rt-PA. METHODS:This study includes two phases. Phase 1: the authors compared demogr...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000167608.94237.aa

    authors: Di Legge S,Fang J,Saposnik G,Hachinski V

    更新日期:2005-07-12 00:00:00