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Related Concept Videos

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Induction and Diverse Assessment Indicators of Experimental Autoimmune Encephalomyelitis
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Autoimmune encephalopathies.

Ming Lim1, Yael Hacohen2, Angela Vincent2

  • 1Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital, University of Oxford, Level 6, West Wing, Oxford 3 9DU, UK; Children's Neurosciences, Evelina Children's Hospital @ Guy's and St Thomas' NHS Foundation Trust, King's Health Partners Academic Health Science Centre, Lambeth Palace Road, London SE1 7EH, UK.

Pediatric Clinics of North America
|May 30, 2015
PubMed
Summary
This summary is machine-generated.

Antibody-mediated central nervous system diseases involve antibodies targeting neuronal proteins, causing diverse neurological symptoms. Immunotherapy offers significant benefits for many affected children and adults.

Keywords:
AQP4AntibodyAutoimmunityEncephalitisImmune-mediatedImmunotherapyLimbicMOGN-methyl d-aspartate receptorVGKC-complex

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Area of Science:

  • Neurology
  • Immunology
  • Neuroscience

Background:

  • Antibody-mediated central nervous system (CNS) diseases represent a growing and complex area within autoimmune neurologic disorders.
  • These conditions are clinically significant in both pediatric and adult populations.
  • Antibodies target cell-surface epitopes on neuronal or glial proteins, leading to neurological dysfunction.

Purpose of the Study:

  • To highlight the clinical significance and diagnostic features of antibody-mediated CNS diseases.
  • To discuss the varied clinical presentations and potential for phenotypic variation, especially in children.
  • To emphasize the therapeutic potential of immunotherapy in these disorders.

Main Methods:

  • Review of clinical manifestations associated with antibody-mediated CNS diseases.
  • Correlation of clinical signs with antibody targets and affected brain regions.
  • Evaluation of diagnostic indicators including neuroimaging and electrophysiology.
  • Assessment of treatment outcomes with immunotherapy.

Main Results:

  • Antibody binding to neuronal or glial targets results in focal or generalized clinical signs.
  • Symptoms can include seizures, movement disorders, autonomic dysfunction, and sleep disturbances.
  • Neuroimaging and electrophysiological findings can suggest specific antibody-mediated disorders.
  • Phenotypic variation exists, even in children with the same antibody.

Conclusions:

  • Antibody-mediated CNS diseases are a critical diagnostic consideration in neurology.
  • Diverse clinical presentations necessitate a comprehensive diagnostic approach.
  • Immunotherapy is an effective treatment strategy, leading to substantial patient improvement.