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Published on: August 16, 2024
Movement Disorders in MOGAD: A Systematic Review
Stefania Kalampokini1, Antonis Frontistis1, Antonis Pilavas2
11st Department of Neurology, AHEPA University Hospital, Aristotle University of Thessaloniki, 541 24 Thessaloniki, Greece.
Movement disorders like ataxia are common in Myelin Oligodendrocyte Glycoprotein-Associated Disease (MOGAD), often appearing at onset, especially in children. Early diagnosis and treatment with steroids can lead to significant recovery.
Area of Science:
- Neurology
- Neuroimmunology
- Movement Disorders
Background:
- Movement disorders are frequently overlooked in Myelin Oligodendrocyte Glycoprotein-Associated Disease (MOGAD).
- This study systematically reviews documented movement disorders in MOGAD patients.
Purpose of the Study:
- To summarize all movement disorders previously described in Myelin Oligodendrocyte Glycoprotein-Associated Disease (MOGAD).
Main Methods:
- A systematic literature search was performed across PubMed, Web of Science, and Scopus.
- Studies included patients diagnosed with MOGAD and exhibiting various movement disorders.
Main Results:
- Ninety-one patients from 58 studies were analyzed, with cerebellar ataxia being the most prevalent movement disorder (84.6%).
- Movement disorders often presented at MOGAD onset (70%), particularly in pediatric cases, with subcortical and cerebellar lesions common on imaging.
- Full recovery or significant improvement was observed in approximately 50% of patients following immunomodulatory treatment, primarily steroids.
Conclusions:
- The emergence of movement disorders, especially ataxia, warrants investigation for MOGAD, particularly in young patients.
- It may also signify a relapse in individuals with a pre-existing MOGAD diagnosis.
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