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Psychiatric features in NMDAR and LGI1 antibody-associated autoimmune encephalitis

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机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Neurol, 45 ChangChun St, Beijing 100053, Peoples R China [2]Youanmen Hosp, Dept Neurol, Beijing, Peoples R China [3]Capital Med Univ, Beijing Key Lab Neuromodulat, Beijing, Peoples R China [4]Capital Med Univ, Beijing Inst Brain Disorders, Ctr Epilepsy, Minist Sci & Technol, Beijing, Peoples R China [5]Capital Med Univ, Inst Sleep & Consciousness Disorders, Beijing Inst Brain Disorders, Collaborat Innovat Ctr Brain Disorders, Beijing, Peoples R China
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关键词: Psychiatric symptoms Anti-NMDAR encephalitis Anti-LGI1 encephalitis Incongruent laughter Crying Catatonic symptoms

摘要:
Patients with autoimmune encephalitis (AE) often developed psychiatric features during the disease course. Many studies focused on the psychiatric characteristic in anti-NMDAR encephalitis (NMDAR-E), but anti-LGI1 encephalitis (LGI1-E) had received less attention regarding the analysis of psychiatric features, and no study compared psychiatric characteristic between these two groups. The clinical data of AE patients (62 NMDAR-E and 20 LGI1-E) who developed psychiatric symptoms were analyzed in this study. In NMDAR-E, the most common higher-level feature was "behavior changes" (60/62, 96.8%) and the lower-level feature "incoherent speech" was observed in 33 patients (33/62, 53.2%), followed by "agitation" (29/62, 46.8%) and "incongruent laughter/crying" (20/62, 32.3%). Similar to NMDAR-E, "behavior changes" was most common in LGI1-E (17/20, 85.0%), but the features of suicidality, eating, and obsessive-compulsive were not reported. The top three lower-level features were visual hallucinations (9/20, 45.0%), incoherent speech (8/20, 40.0%), and mood instability (7/20, 35.0%). The comparative study found that "incongruent laughter/crying", in lower-level features, was more frequently observed in NMDAR-E (32.3% vs. 0%, p = 0.002). Moreover, the Bush Francis Catatonia Rating Scale (BFCRS) assessing the catatonic symptoms in NMDAR-E were higher than LGI1-E, but the 18 item-Brief Psychiatric Rating Scale (BPRS-18) showed no difference in the two groups. In summary, both NMDAR-E and LGI1-E often developed psychiatric symptoms. In contrast with LGI1-E, the psychiatric feature "incongruent laughter/crying" was more frequently associated with NMDAR-E, and catatonic symptoms were more severe in NMDAR-E.

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出版当年[2023]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 精神病学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 精神病学
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出版当年[2022]版:
Q1 CLINICAL NEUROLOGY Q2 PSYCHIATRY
最新[2023]版:
Q1 CLINICAL NEUROLOGY Q2 PSYCHIATRY

影响因子: 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

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第一作者机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Neurol, 45 ChangChun St, Beijing 100053, Peoples R China
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通讯机构: [1]Capital Med Univ, Xuanwu Hosp, Dept Neurol, 45 ChangChun St, Beijing 100053, Peoples R China [3]Capital Med Univ, Beijing Key Lab Neuromodulat, Beijing, Peoples R China [4]Capital Med Univ, Beijing Inst Brain Disorders, Ctr Epilepsy, Minist Sci & Technol, Beijing, Peoples R China [5]Capital Med Univ, Inst Sleep & Consciousness Disorders, Beijing Inst Brain Disorders, Collaborat Innovat Ctr Brain Disorders, Beijing, Peoples R China
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