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Updated: Dec 6, 2025

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Recent developments in MOG-IgG associated neurological disorders.

Harald Hegen1, Markus Reindl2

  • 1Clinical Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.

Therapeutic Advances in Neurological Disorders
|October 8, 2020
PubMed
Summary

Myelin oligodendrocyte glycoprotein IgG antibody (MOG-IgG) disorders are a distinct inflammatory CNS disease. These MOG-IgG conditions present a wide spectrum of neurological syndromes in children and adults.

Keywords:
acute disseminated encephalomyelitisantibodyencephalitismyelin oligodendrocyte glycoproteinoptic neuritisseizuretranserve myelitis

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Area of Science:

  • Neuroimmunology
  • Neurology

Background:

  • Acquired demyelinating syndromes associated with myelin oligodendrocyte glycoprotein IgG antibodies (MOG-IgG) are increasingly recognized as a distinct inflammatory central nervous system disease entity.
  • These disorders are differentiated from neuromyelitis optica spectrum disorders and multiple sclerosis.

Purpose of the Study:

  • To provide a comprehensive overview of current knowledge regarding MOG-IgG associated disorders.
  • To describe clinical presentations, differentiate from other demyelinating diseases, and summarize outcomes and treatments.

Main Methods:

  • Utilizing highly specific cell-based assays for MOG-IgG detection.
  • Reviewing meticulous clinical descriptions and recent studies on MOG-IgG associated disorders.

Main Results:

  • MOG-IgG associated disorders encompass a spectrum from acute disseminated encephalomyelitis in children to optic neuritis and myelitis in adults.
  • The phenotype has expanded to include brainstem encephalitis, seizures, and overlap syndromes with other autoimmune encephalitides.

Conclusions:

  • MOG-IgG associated disorders represent a unique category of inflammatory CNS diseases with diverse clinical manifestations.
  • Understanding MOG-IgG pathophysiology and diagnostic methods is crucial for accurate diagnosis and management.