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.
基金:
National Key Research and Development Program of China [2021YFC2501400]; Beijing Postdoctoral Research Foundation [2021-ZZ-001]; Beijing Municipal Education Commission [TJSH20161002502]; National Natural Science Foundation of China [81771398]; Beijing Key Clinical Speciality Excellence Project; National Support Provincial Major Disease Medical Services nd Social Capability Enhancement Project
第一作者机构:[1]Capital Med Univ, Xuanwu Hosp, Dept Neurol, 45 ChangChun St, Beijing 100053, Peoples R China
通讯作者:
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
推荐引用方式(GB/T 7714):
Jia Yu,Li Mingyu,Hu Shimin,et al.Psychiatric features in NMDAR and LGI1 antibody-associated autoimmune encephalitis[J].EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE.2024,274(5):1051-1061.doi:10.1007/s00406-023-01606-w.
APA:
Jia, Yu,Li, Mingyu,Hu, Shimin,Leng, Haixia,Yang, Xiaotong...&Wang, Yuping.(2024).Psychiatric features in NMDAR and LGI1 antibody-associated autoimmune encephalitis.EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE,274,(5)
MLA:
Jia, Yu,et al."Psychiatric features in NMDAR and LGI1 antibody-associated autoimmune encephalitis".EUROPEAN ARCHIVES OF PSYCHIATRY AND CLINICAL NEUROSCIENCE 274..5(2024):1051-1061