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Published on: June 1, 2016
"FLAMES: A novel burning entity in MOG IgG associated disease"
Kshiteeja Jain1, Ajith Cherian1, Divya K P1
1Department of Neurology, Sree Chitra Tirunal institute for Medical Sciences and Technology, Kerala, India.
FLAMES, a new subtype of MOG antibody disease, presents with seizures and characteristic cortical lesions on FLAIR MRI. This finding aids in differentiating FLAMES from other encephalitides.
Area of Science:
- Neurology
- Radiology
- Immunology
Background:
- Myelin oligodendrocyte glycoprotein antibody-associated disease (MOGAD) typically manifests as optic neuritis or myelitis.
- FLAMES (FLAIR imaging in MOG-associated Encephalitis with Seizures) represents a distinct clinico-radiological entity within MOGAD.
- FLAMES can mimic viral encephalitis due to its focal cortical presentation.
Discussion:
- FLAMES is characterized by hyperintense cortical lesions on FLAIR MRI, often accompanied by seizures.
- The presentation can be unilateral or bilateral cortical encephalitis.
- Advanced imaging techniques like MRA, SWI, and perfusion studies may aid in diagnosing FLAMES.
Key Insights:
- FLAMES expands the known spectrum of MOGAD presentations.
- Distinguishing FLAMES from other causes of encephalitis is crucial for appropriate management.
- Specific MRI findings are key to identifying this MOGAD subtype.
Outlook:
- Further research is needed to fully elucidate the pathophysiology of FLAMES.
- Establishing diagnostic criteria and treatment protocols for FLAMES will improve patient outcomes.
- Investigating the role of advanced imaging in MOGAD subtypes is warranted.
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