Autoimmune Encephalitides and Rapidly Progressive Dementias.

Abstract:

:Rapidly progressive dementia (RPD) or cognitive decline is a common presenting complaint in neurology. While primary dementia is often a concern, other forms of reversible dementia must be thoroughly considered. This article focuses on the growing field of autoimmune encephalitis (AE) as it pertains to the differential diagnostic considerations in a work-up for RPD. Understanding clues in the history and examination is the first step in identifying patients with a potential autoimmune cause for RPD. While testing for infectious and toxic-metabolic etiologies is commonly preformed, it is necessary to consider early ancillary testing for AE in appropriate cases of RPD. Autoantibody testing in the spinal fluid and serum, brain imaging, and electroencephalography all form the first line of investigations for AE. Treatment options and strategies depend on the AE subtype and a number of individual patient considerations.

journal_name

Semin Neurol

journal_title

Seminars in neurology

authors

Wesley SF,Ferguson D

doi

10.1055/s-0039-1678583

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

283-292

issue

2

eissn

0271-8235

issn

1098-9021

journal_volume

39

pub_type

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