Two Cases of Pediatric AQP4-Antibody Positive Neuromyelitis Optica Spectrum Disorder Successfully Treated with Tocilizumab.

Abstract:

:B cell depletion with the anti-CD20-antibody rituximab is widely considered treatment of choice for long-term immunotherapy in aquaporin-4 (AQP4)-antibody positive neuromyelitis optica spectrum disorder (NMOSD). However, up to 30% of patients suffer from relapses despite complete B cell depletion. In these cases, the IL6 (interleukin-6)-receptor blocking antibody tocilizumab has been suggested as an alternative. We report two female adolescents with AQP4-antibody positive NMOSD who relapsed under rituximab treatment and clinically stabilized after switching to monthly administrations of tocilizumab. Our data suggest that early escalation of therapy with tocilizumab may lead to stabilization of disease activity in pediatric NMOSD patients who relapse under B cell depletion.

journal_name

Neuropediatrics

journal_title

Neuropediatrics

authors

Breu M,Glatter S,Höftberger R,Freilinger M,Kircher K,Kasprian G,Seidl R,Kornek B

doi

10.1055/s-0039-1684004

subject

Has Abstract

pub_date

2019-06-01 00:00:00

pages

193-196

issue

3

eissn

0174-304X

issn

1439-1899

journal_volume

50

pub_type

杂志文章
  • Biotin-responsive basal ganglia disease: case report and review of the literature.

    abstract::Biotin-responsive basal ganglia disease is a rare entity of which 10 cases have been reported in the literature. We report a case of biotin-responsive basal ganglia disease with similarities and differences compared to the previously reported cases by Ozand et al. Our case presented much earlier, was milder and respon...

    journal_title:Neuropediatrics

    pub_type: 杂志文章,评审

    doi:10.1055/s-0028-1128152

    authors: El-Hajj TI,Karam PE,Mikati MA

    更新日期:2008-10-01 00:00:00

  • Comparative Analysis of Cerebral Magnetic Resonance Imaging Changes in Nontreated Infantile, Juvenile and Adult Patients with Niemann-Pick Disease Type C.

    abstract:AIM:The study aims to describe cerebral MRI in different onset forms of Niemann-Pick type C (NPC). Systematic MRI analyses in this rare lysosomal storage disease are lacking in the infantile and juvenile onset forms. METHODS:Thirty-two cerebral MRI scans from 19 patients with NPC were assessed using a newly establishe...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0039-1698451

    authors: Gburek-Augustat J,Groeschel S,Kern J,Beck-Woedl S,Just J,Harzer K,Stampfer M,Kraegeloh-Mann I

    更新日期:2020-02-01 00:00:00

  • Infantile epileptic encephalopathy, transient choreoathetotic movements, and hypersomnia due to a De Novo missense mutation in the SCN2A gene.

    abstract::Mutations of the SCN2A gene have originally been described in association with benign familial neonatal-infantile seizures (BFNIS). Recently, single patients with more severe phenotypes and persisting epileptic encephalopathies have been recognized. We report the case of a girl with severe infantile onset epileptic en...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0034-1372302

    authors: Hackenberg A,Baumer A,Sticht H,Schmitt B,Kroell-Seger J,Wille D,Joset P,Papuc S,Rauch A,Plecko B

    更新日期:2014-08-01 00:00:00

  • Long-term observations of patients with infantile spinal muscular atrophy with respiratory distress type 1 (SMARD1).

    abstract::We describe 6 unrelated patients affected by infantile spinal muscular atrophy with respiratory distress type 1 (SMARD1) with prolonged survival upon mechanical ventilation (4.5-11 years), which has not been reported before. Biallelic mutations in the IGHMBP2 gene proved the diagnosis of SMARD1 in all patients. Diseas...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2004-820994

    authors: Rudnik-Schöneborn S,Stolz P,Varon R,Grohmann K,Schächtele M,Ketelsen UP,Stavrou D,Kurz H,Hübner C,Zerres K

    更新日期:2004-06-01 00:00:00

  • POLR3A and POLR3B Mutations in Unclassified Hypomyelination.

    abstract:OBJECTIVE:This study aims to ascertain frequency of mutations in POLR3A or POLR3B, which are associated with 4H leukodystrophy, in a cohort of patients with unclassified hypomyelination. METHODS AND RESULTS:In a cohort of 22 patients with the magnetic resonance imaging (MRI) diagnosis of unclassified hypomyelination a...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0035-1550148

    authors: Cayami FK,La Piana R,van Spaendonk RM,Nickel M,Bley A,Guerrero K,Tran LT,van der Knaap MS,Bernard G,Wolf NI

    更新日期:2015-06-01 00:00:00

  • Hypocarnitinemic hypoglycemia and heart failure in an infant with a constant parenteral elementary nutrition during measles vaccination-related febrile illness.

    abstract::A 1-year and 11-month-old female infant with bilateral lesions of the thalamus, basal ganglia, cerebellar and brainstem disease died from heart failure 9 days after being administered a measles vaccination. She had a high fever, hypocarnitinemic and non-ketotic hypoglycemia, serum levels of total carnitine 7.4 micromo...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1062714

    authors: Okanari K,Takahashi M,Maeda T,Sato K,Suenobu S,Izumi T

    更新日期:2007-12-01 00:00:00

  • Phenotype-Genotype Correlation in Children with Neurofibromatosis Type 1.

    abstract::Neurofibromatosis type 1 (NF1) is a common autosomal dominant disorder with an incidence of ∼1 in 4,000 live births. Neurofibromin, the gene product, is ubiquitously expressed at high levels in the nervous system and functions as a tumor suppressor. Haploinsufficiency of neurofibromin through mutation leads to an incr...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0037-1620239

    authors: Barrea C,Vaessen S,Bulk S,Harvengt J,Misson JP

    更新日期:2018-06-01 00:00:00

  • Morphology of the gangliosidoses.

    abstract::GM1 and GM2 gangliosidoses are progressive neurodegenerative diseases which accumulate intralysosomal gangliosides--and to a lesser extent oligosaccharides--chiefly in the central and peripheral nervous system owing to deficiencies of beta-galactosidase and hexosaminidases A or/and B, respectively. This intralysosomal...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1052389

    authors: Goebel HH

    更新日期:1984-09-01 00:00:00

  • Patterns of cerebral glucose metabolism using 18FDG and positron tomography in the neurologic investigation of the full term newborn infant.

    abstract::18F fluorodeoxyglucose (18FDG) and positron tomography (PT) were used in 20 full term babies with seizures or hypotonia to describe regional cerebral glucose metabolism. Among babies with seizures, birth asphyxia was the most common cause. PT was performed at age 6-17 days. One hour before PT, 18FDG (50-100 microCi/kg...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1052419

    authors: Thorp PS,Levin SD,Garnett ES,Nahmias C,Firnau G,Toi A,Upton AR,Nobbs PT,Sinclair JC

    更新日期:1988-08-01 00:00:00

  • Unilateral dilation of virchow-robin spaces in early childhood.

    abstract::Observations of extreme unilateral widening of Virchow-Robin spaces (VRS) are rare and hitherto confined to adult, mainly old-aged patients. Magnetic resonance imaging (MRI) was performed in two unrelated boys aged 3 years with developmental coordination disorders. In one of these patients, follow-up MRI and diffusion...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0029-1246158

    authors: Brockmann K,Gröschel S,Dreha-Kulaczewski S,Reinhardt K,Gärtner J,Dechent P

    更新日期:2009-10-01 00:00:00

  • Impact of long-term treatment of methylphenidate on height and weight of school age children with ADHD.

    abstract::Stimulant-associated growth deficits in children with attention deficit hyperactivity disorder (ADHD) have long been a concern. We chose 146 school age children diagnosed with ADHD being treated with methylphenidate (MPH) and 29 drug-free ADHD children, and followed them up for 2-4 years. We recorded the changes in he...

    journal_title:Neuropediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-0030-1261893

    authors: Zhang H,Du M,Zhuang S

    更新日期:2010-08-01 00:00:00

  • Correlation of corpus callosal morphometry with cognitive and motor function in periventricular leukomalacia.

    abstract:PURPOSE:We aim to correlate size and shape of corpus callosum with severity of motor and cognitive impairments in children with periventricular leukomalacia (PVL). METHODS:Children with PVL were stratified based on the severity of their motor and cognitive impairments. An age-matched control group was established. The...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2003-43259

    authors: Davatzikos C,Barzi A,Lawrie T,Hoon AH Jr,Melhem ER

    更新日期:2003-06-01 00:00:00

  • Brainstem auditory evoked potentials in fullterm and preterm newborns with hyperbilirubinemia and hypoxemia.

    abstract::Brainstem auditory evoked potentials (BAEP) were studied in 93 newborns (49 preterm and 44 fullterm) admitted to the neonatal intensive care unit. One group of 42 infants (28-42 wk CA) were considered at low risk for perinatal complications and served to establish the normal ranges of the BAEP parameters (wave I peak ...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1052503

    authors: Streletz LJ,Graziani LJ,Branca PA,Desai HJ,Travis SF,Mikaelian DO

    更新日期:1986-05-01 00:00:00

  • Late detection of neuroblastoma in a patient with prolonged cerebellar ataxia without opsoclonus.

    abstract::A 19-month-old boy presented with acute-onset cerebellar ataxia following immunisation. Ataxia was prolonged with a fluctuating course over a period of two years. Opsoclonus was never observed. Extensive diagnostic studies were negative during this time. Finally, a neuroblastoma was discovered. Ataxia disappeared comp...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2001-13876

    authors: Wolff M,Schöning M,Niemann G,Krägeloh-Mann I

    更新日期:2001-04-01 00:00:00

  • Symmetrical external capsule lesions in a patient with herpes simplex encephalitis.

    abstract::A 7-year-old boy had symmetrical transient high signal lesions in the external capsules on T2-weighted image during the recovery phase of herpes simplex virus (HSV) encephalitis. Although this finding has never been reported in HSV or other viral encephalitis, a postinfectious allergic mechanism is suspected in this p...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1073016

    authors: Kimura S,Nezu A,Osaka H,Saito K

    更新日期:1994-06-01 00:00:00

  • Ataxia with oculomotor apraxia type 2: novel mutations in six patients with juvenile age of onset and elevated serum alpha-fetoprotein.

    abstract::Ataxia with oculomotor apraxia type 2 (AOA2), a neurodegenerative disorder with juvenile to adolescent onset is caused by mutations within the SENATAXIN gene ( SETX). We performed molecular analyses in six patients showing clinically an AOA2 phenotype and moderate to significant elevated serum alpha-fetoprotein levels...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0029-1214424

    authors: Bernard V,Stricker S,Kreuz F,Minnerop M,Gillessen-Kaesbach G,Zühlke C

    更新日期:2008-12-01 00:00:00

  • Melatonin increases following convulsive seizures may be related to its anticonvulsant properties at physiological concentrations.

    abstract::Melatonin ( N-acetyl-5-methoxytryptamine, aMT) is an indoleamine produced by several organs and tissues including the pineal gland. Melatonin (aMT) modulates the activity of the brain, mainly acting on both GABA and glutamate receptors. Previous studies have shown the participation of melatonin in the control of convu...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2007-985138

    authors: Molina-Carballo A,Muñoz-Hoyos A,Sánchez-Forte M,Uberos-Fernández J,Moreno-Madrid F,Acuña-Castroviejo D

    更新日期:2007-06-01 00:00:00

  • Rett syndrome: the bcl-2 gene--a mediator of neurotrophic mechanisms?

    abstract::Rett syndrome affects young girls. The molecular basis is mysterious. One tenable hypothesis can be that the programmed early infantile death of neuronal cells is reprogrammed. The bcl-2 gene on chromosome 22 has been shown to play a role in the apoptosis process. No sequence abnormalities were detected in the bcl-2 g...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1073047

    authors: Anvret M,Zhang ZP,Hagberg B

    更新日期:1994-12-01 00:00:00

  • Attention-deficit hyperactivity disorder and blood mercury level: a case-control study in Chinese children.

    abstract:OBJECTIVE:To investigate the association between blood mercury level and attention-deficit hyperactivity disorder (ADHD) in Chinese children in Hong Kong. METHODS:Fifty-two children with ADHD aged below 18 years diagnosed by DSM IV criteria without perinatal brain insults, mental retardation or neurological deficits w...

    journal_title:Neuropediatrics

    pub_type: 杂志文章,收录出版

    doi:10.1055/s-2006-924577

    authors: Cheuk DK,Wong V

    更新日期:2006-08-01 00:00:00

  • Successful management of drooling with botulinum toxin A in neurologically disabled children.

    abstract:OBJECTIVES:The present study investigates the effect of topical injections of botulinum toxin A into the cephalic salivary glands of children with chronic hypersalivation due to neurodegenerative diseases. METHODS:Five children with hypersalivation due to severe neurological diseases received, under ultrasound guidanc...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2002-37084

    authors: Ellies M,Rohrbach-Volland S,Arglebe C,Wilken B,Laskawi R,Hanefeld F

    更新日期:2002-12-01 00:00:00

  • Late effects following central nervous system radiation in a pediatric population.

    abstract::Between 1970 and 1986, 120 children with central nervous system malignancy were treated with radiation therapy. These included 44 low-grade astrocytomas, 11 high grade astrocytomas, 32 medulloblastomas, 15 ependymomas/ependymoblastomas, 3 primitive neuroectodermal tumors and 8 pineal tumors. Seven children were treate...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1071348

    authors: Avizonis VN,Fuller DB,Thomson JW,Walker MJ,Nilsson DE,Menlove RL

    更新日期:1992-10-01 00:00:00

  • Sleep apneas in normal neonates and infants during the first 3 months of life.

    abstract::Sleep polygraphic recording was carried out on 52 normal full-term babies. 16 infants were recorded at 2 - 7 days of age, 14 at 2 to 5 weeks, 13 at 6 to 9 weeks and 9 at 10 - 13 weeks. Central apneas of 2 sec and over were analysed in Active Sleep (AS), Quiet Sleep (QS) and Transitional Sleep (TS). Apnea Index (AI, pe...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1059630

    authors: Flores-Guevara R,Plouin P,Curzi-Dascalova L,Radvanyi MF,Guidasci S,Pajot N,Monod N

    更新日期:1982-05-01 00:00:00

  • The Rett condition--broad clinical variability--a case report over three decades.

    abstract::A forme fruste Rett variant female with partially preserved speech remnants is described. She was first seen by the author at an age of 4 years. She then presented with an unspecific syndrome of moderate mental retardation. At follow-up when aged 32 she had successively through the years developed a number of Rett cha...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2007-979730

    authors: Hagberg B

    更新日期:1995-04-01 00:00:00

  • Hereditary and acquired risk factors for childhood stroke.

    abstract::Forty-four patients aged from one month to 16 years suffering from arterial stroke were carefully studied for any hereditary and acquired risk factors for stroke. No physiologic anticoagulant deficiency or antiphospholipid syndrome was found. Two patients had mitochondrial disease (MELAS). Six patients had migraineous...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1073026

    authors: Riikonen R,Santavuori P

    更新日期:1994-10-01 00:00:00

  • Cerebellar and brainstem hypoplasia in a child with a partial monosomy for the short arm of chromosome 5 and partial trisomy for the short arm of chromosome 10.

    abstract::A child with hypoplasia of the cerebellum and brainstem in association with an unbalanced translocation, resulting in a partial deletion of the short arm of chromosome 5 and a partial trisomy of the short arm of chromosome 10, is described. A balanced translocation was present in his mother and maternal grandmother. A...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2007-979718

    authors: Arts WF,Hofstee Y,Drejer GF,Beverstock GC,Oosterwijk JC

    更新日期:1995-02-01 00:00:00

  • Clinical features of Kleine-Levin syndrome with localized encephalitis.

    abstract::We report the clinico-pathological findings regarding a 9 year-old girl with some clinical features of Kleine-Levin syndrome who died suddently as a result of pulmonary embolism in the course of femoro-iliac thrombophlebitis. Neuropathological examination provided evidence of perivascular inflammatory infiltrates and ...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1071559

    authors: Fenzi F,Simonati A,Crosato F,Ghersini L,Rizzuto N

    更新日期:1993-10-01 00:00:00

  • Etiologic factors and long-term prognosis of convulsive disorders in the first year of life.

    abstract::Etiological factors and long-term prognosis were studied in 562 cases with convulsive disorders in the first year of life; 114 (20.3%) were prenatal, 114 (20.3%) perinatal, 24 (4.3%) postnatal, and 257 cases (45.7%) were cryptogenic. The remaining 53 (9.4%) patients were doubtful cases. The mortality before six years ...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1059584

    authors: Matsumoto A,Watanabe K,Sugiura M,Negoro T,Takaesu E,Iwase K

    更新日期:1983-11-01 00:00:00

  • Cerebrovascular occlusive disease with and without the moyamoya vascular network in children.

    abstract::Clinical features of cerebrovascular occlusive disease with the moyamoya network (group 1: twenty-nine children) and those without this network (group 2: nine children) are reported herein. Group 1 was characterized by female preponderance, recurrent and transient ischemic attacks, progression of mental deterioration,...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-2008-1052540

    authors: Kurokawa T,Chen YJ,Tomita S,Kishikawa T,Kitamura K

    更新日期:1985-02-01 00:00:00

  • Chronic inflammatory demyelinating polyradiculoneuropathy in children and their response to treatment.

    abstract:PURPOSE OF THE STUDY:To collect data on both the natural history of chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) in children and their response to treatment. STUDY DESIGN:Retrospective multicentre study, using standardised criteria for the evaluation of hospital records and semi-quantitative scorin...

    journal_title:Neuropediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-2007-973489

    authors: Korinthenberg R

    更新日期:1999-08-01 00:00:00

  • The cytokine and chemokine profiles in rhabdomyolysis in a patient with Gaucher disease type II.

    abstract::This report describes a patient with Gaucher disease type II who developed severe rhabdomyolysis. We treated him successfully and measured various cytokine and chemokine levels sequentially to elucidate the pathophysiology of rhabdomyolysis. The serum levels of interleukin-6, -8, -10, granulocyte colony-stimulating fa...

    journal_title:Neuropediatrics

    pub_type: 杂志文章

    doi:10.1055/s-0030-1253425

    authors: Wakusawa K,Haginoya K,Ishitobi M,Hino-Fukuyo N,Togashi N,Sato I,Ohura T,Yokoyama H,Kikuchi M,Iinuma K,Tsuchiya S

    更新日期:2010-02-01 00:00:00