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Clinical characterization of autoimmune LGI1 antibody limbic encephalitis

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机构: [a]Department of Neurology, Xuanwu Hospital, Capital Medical University, The Beijing Key Laboratory of Neuromodulation, Beijing, China [b]Department of Nuclear Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China
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关键词: Autoimmune encephalitis LGI1 Limbic encephalitis

摘要:
Objective: Autoimmune encephalitis associated with antibodies to leucine-rich glioma inactivated 1 (LGI1) has recently been identified and is characterized by an acute to subacute onset of cognitive impairment and convulsion, faciobrachial dystonic seizures (FBDSs), and psychiatric disturbances. This study analyzed the clinical characteristics and outcomes of 10 patients with LGI1 antibody encephalitis in order to further understand this disease and to improve its therapeutic strategies. Methods: Between January 2013 and March 2015, we identified 10 patients with LGI1 antibody encephalitis. We retrospectively analyzed the clinical details, laboratory results, electrophysiological and imaging findings, and the treatment outcomes. Results: All patients tested had LGI1 antibodies. Immunotherapy was effective in all patients. Seizures in patients with FBDS showed a poor response to antiepileptic drugs. Two patients examined by magnetoencephalogram (MEG) during the acute disease phase showed a small quantity of spike-wave dipoles in the temporal lobe close to the lateral fissure and insular lobe. Conclusion: Patients with LGI1 antibody encephalitis responded well to immunotherapy. We speculate that FBDS is likely a form of insular epilepsy. (C) 2016 Elsevier Inc. All rights reserved.

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中科院(CAS)分区:
出版当年[2015]版:
大类 | 4 区 医学
小类 | 4 区 行为科学 4 区 临床神经病学 4 区 精神病学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 行为科学 4 区 临床神经病学 4 区 精神病学
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出版当年[2014]版:
Q2 PSYCHIATRY Q3 BEHAVIORAL SCIENCES Q3 CLINICAL NEUROLOGY
最新[2023]版:
Q2 BEHAVIORAL SCIENCES Q2 PSYCHIATRY Q3 CLINICAL NEUROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2014版] 出版当年五年平均 出版前一年[2013版] 出版后一年[2015版]

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第一作者机构: [a]Department of Neurology, Xuanwu Hospital, Capital Medical University, The Beijing Key Laboratory of Neuromodulation, Beijing, China
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通讯机构: [*1]Department of Neurology, Xuanwu Hospital, Capital Medical University, 45 Changchun Street, Beijing 100053, China.
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