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Updated: Jan 24, 2026

Myelin Oligodendrocyte Glycoprotein MOG35-55 Induced Experimental Autoimmune Encephalomyelitis EAE in C57BL/6 Mice
Published on: April 15, 2014
MOG antibody seropositive aseptic meningitis: A new clinical phenotype
Divya Nagabushana1, Rutul Shah1, Hima Pendharkar2
1Department of Neurology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, India.
Abstract:
The spectrum of myelin oligodendrocyte glycoprotein antibody (MOG-Ab) associated demyelination is evolving. Our case report describes a unique clinical presentation of aseptic meningitis with demyelinating lesions of the brain resembling acute disseminated encephalomyelitis and MOG-Ab seropositivity. A 22-year-old lady presented with history of fever of one week duration followed by headache, vomiting and neck stiffness. She had bilateral papilledema and signs of meningeal irritation. Neuroimaging revealed T2 and FLAIR hyperintense lesions in the right caudate, temporal lobe and left insula with enhancement on gadolinium contrast along with leptomeningeal enhancement. An extensive search for infectious and inflammatory etiology was negative while serum was positive for MOG-Abs tested twice at an interval of 12 days. She showed remarkable clinical-radiological resolution with steroids and has remained symptom free on follow up.
Insights
This case report details a unique presentation of aseptic meningitis with brain demyelination, confirmed by myelin oligodendrocyte glycoprotein antibodies (MOG-Ab). Prompt steroid treatment led to significant recovery, highlighting MOG-Ab associated demyelination
Area of Science:
- Neurology
- Immunology
- Neuroinflammation
Background:
- The spectrum of myelin oligodendrocyte glycoprotein antibody (MOG-Ab) associated demyelination is continually expanding.
- MOG-Ab associated demyelinating diseases can present with diverse neurological manifestations.
Observation:
- A 22-year-old female presented with aseptic meningitis symptoms including fever, headache, vomiting, and neck stiffness.
- Neuroimaging revealed demyelinating lesions in the brain (caudate, temporal lobe, insula) with leptomeningeal enhancement.
- Extensive workup excluded infectious and inflammatory causes, but serum tested positive for MOG-Abs.
Findings:
- The patient exhibited a unique presentation of MOG-Ab associated demyelination mimicking acute disseminated encephalomyelitis with aseptic meningitis.
- Serological testing confirmed the presence of MOG-Abs on two separate occasions.
- The patient demonstrated significant clinical and radiological improvement following corticosteroid therapy.
Implications:
- This case expands the known clinical spectrum of MOG-Ab associated demyelinating disorders.
- Early diagnosis and treatment with steroids can lead to favorable outcomes in MOG-Ab associated demyelination.
- Further research is warranted to understand the diverse presentations of MOG-Ab associated neurological conditions.
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