Autoimmune encephalitis: case reports of anti-NMDAR and anti-CASPR2 encephalitides and literature review
Case Reports
J. Kazlauskaitė
Vilnius University, Lithuania
N. Giedraitienė
Vilnius University, Lithuania
R. Masaitienė
Vilnius University, Lithuania
A. Klimašauskienė
Vilnius University, Lithuania
Published 2021-12-30
https://doi.org/10.29014/ns.2021.24
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Keywords

autoimmune encephalitis
NMDAR
CASPR2
immunotherapy

How to Cite

1.
Kazlauskaitė J, Giedraitienė N, Masaitienė R, Klimašauskienė A. Autoimmune encephalitis: case reports of anti-NMDAR and anti-CASPR2 encephalitides and literature review. NS [Internet]. 2021 Dec. 30 [cited 2024 Nov. 22];25(3(89):172-9. Available from: https://journals.vu.lt./neurologijos_seminarai/article/view/27601

Abstract

Autoimmune encephalitis (AE) is a group of inflammatory brain disorders involving the central nervous system (CNS) that currently includes more than 10 distinct types of the disease. Nowadays, AE has been identified as the second most frequent cause of encephalitis after infectious etiology. Over the past decade, the clinical spectrum of AE has expanded, and new clinicopathological entities are increasingly being identified. Also, our understanding of disease mechanisms and treatment strategies is rapidly evolving. In clinical practice, neuronal antibodies remain the most significant diagnostic marker currently available. Prognosis of AE varies greatly depending on the subtype and the time of immunotherapy initiation. In general, AE patients respond well to immunotherapy, therefore cognitive functions might be fully or at least partially restored. Cumulative research on the AE pathogenesis has resulted in a paradigm shift in clinical decision-making for these patients. In this article, we present two clinical cases of anti-N-methyl-D-aspartate receptor (anti-NMDAR) and anti-contactin-associated protein-like 2 (anti-CASPR2) encephalitides and focus on the essential aspects of these conditions based on the latest scientific literature.

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