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Table 4 First-line and second-line therapy in autoimmune encephalitides according to [24]

From: Autoimmune encephalitis in children and adolescents

First line

 Corticosteroids

No details on doses or durations given

 Plasma exchange

 Intravenous immunoglobulins

Second line (if first line did not work within 10 daysa)

 Rituximab

4 × 375 mg/m2 i.v., weekly administration

 Cyclophosphamideb

750 mg/m2 i.v. per month

  1. aThis has been said for anti-NMDAR encephalitis. In other, less severe forms of autoimmune encephalitis, one may wait longer before one moves on to second-line therapy. bIn pediatric patients, cyclophosphamide is less frequently used compared to rituximab