Autoimmune encephalitis: case reports of anti-NMDAR and anti-CASPR2 encephalitides and literature review

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 t...

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Main Authors: J. Kazlauskaitė, N. Giedraitienė, R. Masaitienė, A. Klimašauskienė
Format: Article
Language:English
Published: Vilnius University Press 2021-12-01
Series:Neurologijos seminarai
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Online Access:https://www.journals.vu.lt/neurologijos_seminarai/article/view/27601
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author J. Kazlauskaitė
N. Giedraitienė
R. Masaitienė
A. Klimašauskienė
author_facet J. Kazlauskaitė
N. Giedraitienė
R. Masaitienė
A. Klimašauskienė
author_sort J. Kazlauskaitė
collection DOAJ
description 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.
format Article
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institution Kabale University
issn 1392-3064
2424-5917
language English
publishDate 2021-12-01
publisher Vilnius University Press
record_format Article
series Neurologijos seminarai
spelling doaj-art-11769a8848fa4842ba58006dfd5bf8b72025-01-20T18:22:21ZengVilnius University PressNeurologijos seminarai1392-30642424-59172021-12-01253(89)10.29014/ns.2021.24Autoimmune encephalitis: case reports of anti-NMDAR and anti-CASPR2 encephalitides and literature reviewJ. Kazlauskaitė0N. Giedraitienė 1R. Masaitienė2A. Klimašauskienė3Vilnius University, LithuaniaVilnius University, LithuaniaVilnius University, LithuaniaVilnius University, Lithuania 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. https://www.journals.vu.lt/neurologijos_seminarai/article/view/27601autoimmune encephalitisNMDARCASPR2immunotherapy
spellingShingle J. Kazlauskaitė
N. Giedraitienė
R. Masaitienė
A. Klimašauskienė
Autoimmune encephalitis: case reports of anti-NMDAR and anti-CASPR2 encephalitides and literature review
Neurologijos seminarai
autoimmune encephalitis
NMDAR
CASPR2
immunotherapy
title Autoimmune encephalitis: case reports of anti-NMDAR and anti-CASPR2 encephalitides and literature review
title_full Autoimmune encephalitis: case reports of anti-NMDAR and anti-CASPR2 encephalitides and literature review
title_fullStr Autoimmune encephalitis: case reports of anti-NMDAR and anti-CASPR2 encephalitides and literature review
title_full_unstemmed Autoimmune encephalitis: case reports of anti-NMDAR and anti-CASPR2 encephalitides and literature review
title_short Autoimmune encephalitis: case reports of anti-NMDAR and anti-CASPR2 encephalitides and literature review
title_sort autoimmune encephalitis case reports of anti nmdar and anti caspr2 encephalitides and literature review
topic autoimmune encephalitis
NMDAR
CASPR2
immunotherapy
url https://www.journals.vu.lt/neurologijos_seminarai/article/view/27601
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AT ngiedraitiene autoimmuneencephalitiscasereportsofantinmdarandanticaspr2encephalitidesandliteraturereview
AT rmasaitiene autoimmuneencephalitiscasereportsofantinmdarandanticaspr2encephalitidesandliteraturereview
AT aklimasauskiene autoimmuneencephalitiscasereportsofantinmdarandanticaspr2encephalitidesandliteraturereview