Features | Typical antibodies in the pediatric age range: Anti-… |
---|---|
Syndromes | |
Limbic encephalitis | LGI1, CASPR2, GABABR, GAD65, Hu, DNER |
Encephalopathy (in the sense of a diffuse affection of brain function) | NMDAR, GABABR, mGluR5 |
Brainstem encephalitis | GQ1b |
Cerebellitis/autoimmune cerebellar syndrome | DNER, VGCC, NMDAR, mGluR1a |
Opsoclonus myoclonus syndrome | Hu, GAD65 |
Progressive encephalomyelitis with rigidity and myoclonus | GAD65, GlyR |
Demyelinating diseases | MOG, Aquaporin-4, NMDAR* |
Patient and medical history | |
Girls | GAD65 (NMDAR?) |
Other autoimmune disease | GAD65 |
Epilepsy onset along with prominent psychiatric or cognitive symptoms | LGI1, CASPR2, NMDAR, GABABR, GAD65, Hu, DNER |
Onset with status epilepticus or very high seizure frequency | NMDAR, LGI1, GABAAR, GABABR, GAD65 |
Non-viral secondary disease after viral encephalitis | NMDAR and not further characterized surface antigens |
Encephalopathy after respiratory infection | MOG |
Neoplasm | Onconeural; mGluR5 (Hodgkin disease) |
Paraclinical findings | |
EEG: “extreme delta brush” | NMDAR |
Increased CSF count or autochthonous oligoclonal bands | All except LGI1 |
MRI: encephalitic lesion(s) | LGI1, CASPR2, GABABR, GAD, Hu, DNER |
MRI: demyelination | MOG, Aquaporin-4, NMDAR |
Encephalitic histopathology | All |