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Anti-GluK2 antibody-associated autoimmune encephalomyelitis with delayed MRI abnormalities: case report
Weipeng Liu1, Lei He2, Zehong Yang3
1Department of Intensive Care Medicine, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou 510120, China.
Neuroscience
|March 25, 2026
Summary
This case study highlights delayed MRI findings in anti-GluK2 antibody-associated autoimmune encephalomyelitis, a rare neurological disorder. Early diagnosis and immunotherapy are crucial for patient recovery.
Area of Science:
- Neurology
- Immunology
Background:
- Anti-GluK2 antibody-associated autoimmune encephalomyelitis is a rare neurological disorder.
- Delayed radiological manifestation is a characteristic, yet under-recognized, feature.
Purpose of the Study:
- To document the first case of delayed radiological manifestation in anti-GluK2 antibody-associated autoimmune encephalomyelitis.
- To emphasize the clinical significance of this rare disorder.
Main Methods:
- A comprehensive evaluation of a 20-year-old female patient with neurological symptoms.
- Inclusion of blood and CSF analyses, EEG, and serial brain and spinal cord MRI.
- Treatment with intravenous methylprednisolone and immunoglobulin therapy.
Main Results:
- Diagnosis of anti-GluK2 antibody-associated autoimmune encephalomyelitis.
- Initial MRI scans were unremarkable; delayed abnormalities emerged one month later.
- Clinical improvement was observed following immunotherapy.
Conclusions:
- Anti-GluK2 antibody-associated encephalomyelitis can present with delayed spinal MRI findings.
- Elevated serum IgE may play a role in the pathogenesis.
- Prompt diagnosis and immunotherapy are vital for favorable clinical outcomes.
Keywords:
Anti-GluK2 antibodiesAutoimmune encephalomyelitisDelayed MRI abnormalitiesSpinal cord involvementMore Related Videos
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