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Updated: Aug 7, 2026

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Induction and Clinical Scoring of Chronic-Relapsing Experimental Autoimmune Encephalomyelitis
Published on: July 4, 2007
Early pathologic findings and long-term improvement in anti-Ma2-associated encephalitis
D T Blumenthal1, K L Salzman, K B Digre
1Department of Neurology, Oncology Huntsman Cancer Institute, University of Utah, Salt Lake City, USA.
Neurology
|July 13, 2006
Summary
This study details a rare case of sequential anti-Ma2 encephalitis and herpes simplex encephalitis in a 67-year-old man. Prompt treatment led to significant recovery, challenging initial prognoses.
Area of Science:
- Neurology
- Immunology
- Oncology
Background:
- Paraneoplastic encephalitis (PNE) and herpes simplex encephalitis (HSE) are distinct neurological conditions.
- Anti-Ma2-associated PNE is a rare autoimmune disorder often linked to cancer.
- HSE is a viral infection of the brain.
Observation:
- A 67-year-old male presented with sequential anti-Ma2-associated PNE and contralateral HSE.
- Brain biopsy showed significant T cell, B cell, and plasma cell infiltration.
- T cells expressed cytotoxic markers TIA-1 and granzyme-B.
Findings:
- Despite a grave prognosis, the patient showed dramatic improvement after PNE treatment.
- Treatment involved corticosteroids and resection of an associated lung cancer.
- The patient experienced 21 months of significant recovery.
Implications:
- This case highlights the potential for significant recovery in complex encephalitis cases.
- It underscores the importance of multimodal treatment strategies.
- Further research into T cell-mediated mechanisms in PNE and HSE is warranted.
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