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Clinical Features and Electroencephalogram Analysis of Brain Network Functional Connectivity in Anti-Leucine-Rich Glioma-Inactivated 1 Antibody Encephalitis

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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
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关键词: anti-LGI1 antibody encephalitis epilepsy electroencephalogram brain network functional connectivity immunotherapy

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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.

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出版当年[2023]版:
大类 | 2 区 医学
小类 | 3 区 免疫学
最新[2023]版:
大类 | 2 区 医学
小类 | 3 区 免疫学
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出版当年[2022]版:
Q2 IMMUNOLOGY
最新[2023]版:
Q2 IMMUNOLOGY

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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
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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
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