Clinical Features and Electroencephalogram Analysis of Brain Network Functional Connectivity in Anti-Leucine-Rich Glioma-Inactivated 1 Antibody Encephalitis
Purpose: To summarize the clinical manifestations, laboratory findings, and magnetic resonance imaging (MRI) characteristics of anti-leucine-rich glioma-inactivated 1 (LGI1) antibody encephalitis (anti-LGI1 antibody encephalitis) and explore the electroencephalogram (EEG) features. Patients and Methods: We retrospectively analyzed the medical history of 16 patients diagnosed with anti-LGI1 antibody encephalitis at the First Hospital of Hebei Medical University from 2021 to 2023. EEGs of patients with anti-LGI1 antibody encephalitis and healthy individuals were analyzed. Based on Video-EEG signal analysis of EEG delta, theta, alpha, beta frequency bands, weighted phase lag index values were calculated to form brain network matrices, studying differences in coherence between brain regions of patients with anti-LGI1 antibody encephalitis and healthy individuals. Results: Patients with anti-LGI1 antibody encephalitis often presented with subacute onset seizures and cognitive decline. Routine test of cerebrospinal fluid was mostly normal. Serum testing revealed hyponatremia in 62.50% of patients, along with positive serum antinuclear antibodies, decreased vitamin B12, and abnormal cytokines such as interleukin-6. Head MRI revealed abnormal lesions related to the disease in seven cases (43.75%), mainly located in the unilateral or bilateral frontal and temporal lobes of the hippocampus. The EEG mainly showed generalized and focal slow waves, sometimes with focal discharges. Brain network functional connectivity analysis found a significant weakening of functional connections in the frontal-temporal lobe in the delta and beta frequency bands. Intravenous pulse corticosteroids and intravenous immunoglobulin are first-line immunotherapies for anti-LGI1 antibody- related encephalitis. The disease recovery and cognitive decline improved in most patients. Conclusion: Anti-LGI1 antibody encephalitis is characterized by seizures and cognitive dysfunction. Serum may show abnormalities in immune indicators such as cytokines. Head MRI mainly reveals abnormal signals in the frontal-temporal lobes and the hippocampus. EEG brain network connectivity analysis reveals characteristic weakening of functional connections in the frontal-temporal lobe in the delta and beta frequency bands.
基金:
Medical science research project of Hebei Province [20240390]; Project of Traditional Chinese Medicine of Hebei Province [2023065, 2024260]; The ''Spark" scientific research project of the First Hospital of Hebei Medical University [XH202405]; Nature Science Foundation of Hebei Province [H2020206632]; National Key Research and Development Program of China [2022YFC3600500, 2022YFC3600503]; Hebei Province Government-funded Excellent Talents Project in Clinical Medicine [2025054]
第一作者机构:[1]Hebei Med Univ, Hosp 1, Dept Neurol, Shijiazhuang 050030, Hebei, Peoples R China[2]Capital Med Univ, Hebei Hosp, Xuanwu Hosp, Dept Neurol, Shijiazhuang, Hebei, Peoples R China[3]Neuromed Technol Innovat Ctr Hebei Prov, Shijiazhuang, Hebei, Peoples R China[4]Brain Aging & Cognit Neurosci Lab Hebei Prov, Shijiazhuang, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Hebei Med Univ, Hosp 1, Dept Neurol, Shijiazhuang 050030, Hebei, Peoples R China[2]Capital Med Univ, Hebei Hosp, Xuanwu Hosp, Dept Neurol, Shijiazhuang, Hebei, Peoples R China[3]Neuromed Technol Innovat Ctr Hebei Prov, Shijiazhuang, Hebei, Peoples R China
推荐引用方式(GB/T 7714):
Guo Xiaosu,Shi Huimin,Sun Yuteng,et al.Clinical Features and Electroencephalogram Analysis of Brain Network Functional Connectivity in Anti-Leucine-Rich Glioma-Inactivated 1 Antibody Encephalitis[J].JOURNAL OF INFLAMMATION RESEARCH.2024,17:7881-7891.doi:10.2147/JIR.S485190.
APA:
Guo, Xiaosu,Shi, Huimin,Sun, Yuteng,Xing, Yuan,Guo, Xin...&Tian, Shujuan.(2024).Clinical Features and Electroencephalogram Analysis of Brain Network Functional Connectivity in Anti-Leucine-Rich Glioma-Inactivated 1 Antibody Encephalitis.JOURNAL OF INFLAMMATION RESEARCH,17,
MLA:
Guo, Xiaosu,et al."Clinical Features and Electroencephalogram Analysis of Brain Network Functional Connectivity in Anti-Leucine-Rich Glioma-Inactivated 1 Antibody Encephalitis".JOURNAL OF INFLAMMATION RESEARCH 17.(2024):7881-7891