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Updated: Aug 9, 2026

Induction and Clinical Scoring of Chronic-Relapsing Experimental Autoimmune Encephalomyelitis
Published on: July 4, 2007
Pediatric auto-immune encephalitis
Ajay Goenka1, Mahesh Chikkannaiah1, Gogi Kumar1
1Dayton Children Hospital, Wright State University Boonshoft School of Medicine, 1 Children Plaza, Dayton Ohio 45404.
Insights
Pediatric Auto-Immune Encephalitis (PAE) is a complex neuro-inflammatory disorder in children. This review details common PAE types, symptoms, diagnosis, and treatments for improved clinical management.
Area of Science:
- Neurology
- Immunology
- Pediatrics
Background:
- Pediatric Auto-Immune Encephalitis (PAE) is a neuro-inflammatory condition with diverse clinical manifestations.
- Identification of autoantibodies, such as anti-NMDA receptor antibodies, has advanced understanding and management of PAE.
- PAE presents significant diagnostic and therapeutic challenges due to varied presentations and prolonged clinical courses.
Purpose of the Study:
- To provide clinicians with comprehensive information on common PAE disorders.
- To outline the spectrum of clinical presentations associated with PAE.
- To review current diagnostic tests and treatment protocols for PAE.
Main Methods:
- Literature review of current scientific publications.
- Synthesis of information on PAE etiology, clinical features, diagnostics, and therapeutics.
- Focus on recently recognized PAE in pediatric populations.
Main Results:
- PAE encompasses a wide range of symptoms including altered mental status, movement disorders, behavioral changes, psychosis, delirium, seizures, and insomnia.
- Diagnostic approaches involve identifying specific autoantibodies and clinical evaluation.
- Treatment protocols are guided by the underlying etiology and clinical presentation.
Conclusions:
- PAE is a recognized and significant group of disorders in children requiring specialized management.
- Accurate diagnosis and timely treatment are crucial for improving outcomes in pediatric patients with PAE.
- Further research is needed to fully elucidate the pathophysiology and optimize treatment strategies for PAE.
Abstract:
Pediatric Auto-Immune Encephalitis (PAE) is a neuro-inflammatory disorder with a varied presentation. The discovery of the Anti NMDA receptor and other antibodies as the causative agents of PAE, has led to an increased need for guidelines for diagnosis and management of these disorders. PAE remains a challenging group of disorders due to their varying presentations and etiology with a prolonged clinical course. The wide spectrum of clinical symptoms involves altered mental status, movement disorders, acute behavioral changes, psychosis, delirium, seizures, and insomnia. This group of disorders was recently recognized in the children. This review provides clinicians with information on the most common PAE disorders, the spectrum of their clinical presentation, diagnostic tests and treatment protocols based on the current literature.
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