DOE PAGES title logo U.S. Department of Energy
Office of Scientific and Technical Information

Title: LGI1 antibody‐associated limbic encephalitis started from unilateral basal ganglia to medial temporal lobe and insula

Abstract

Abstract Leucine‐rich glioma‐inactivated 1 (LGI1) antibody‐associated limbic encephalitis is a rare autoimmune encephalitis. Here, we report a 39‐year‐old woman presented with generalized tonic‐clonic seizures, night delirium, bilateral upper limb tremor, and hyponatremia. Her symptoms did not improve with initial steroid therapy, and brain magnetic resonance imaging (MRI) showed a progression of abnormalities from right basal ganglia to medial temporal lobe and insula. The presence of LGI1 antibodies in the patient's serum confirmed the clinical diagnosis. After the combined treatments of methylprednisolone, plasma exchange, and intravenous immunoglobulin, her clinical symptoms resolved completely.

Authors:
ORCiD logo [1];  [1];  [1]; ORCiD logo [1];  [1];  [1]; ORCiD logo [1];  [1];  [1]
  1. Department of Neurology Graduate School of Medicine, Dentistry and Pharmaceutical Sciences Okayama University Kitaku Okayama Japan
Publication Date:
Sponsoring Org.:
USDOE
OSTI Identifier:
1577905
Resource Type:
Publisher's Accepted Manuscript
Journal Name:
Neurology and Clinical Neuroscience
Additional Journal Information:
Journal Name: Neurology and Clinical Neuroscience Journal Volume: 8 Journal Issue: 2; Journal ID: ISSN 2049-4173
Publisher:
Wiley-Blackwell
Country of Publication:
Country unknown/Code not available
Language:
English

Citation Formats

Liu, Xia, Omote, Yoshio, Osakada, Yosuke, Tadokoro, Koh, Takemoto, Mami, Hishikawa, Nozomi, Yamashita, Toru, Ohta, Yasuyuki, and Abe, Koji. LGI1 antibody‐associated limbic encephalitis started from unilateral basal ganglia to medial temporal lobe and insula. Country unknown/Code not available: N. p., 2019. Web. doi:10.1111/ncn3.12351.
Liu, Xia, Omote, Yoshio, Osakada, Yosuke, Tadokoro, Koh, Takemoto, Mami, Hishikawa, Nozomi, Yamashita, Toru, Ohta, Yasuyuki, & Abe, Koji. LGI1 antibody‐associated limbic encephalitis started from unilateral basal ganglia to medial temporal lobe and insula. Country unknown/Code not available. https://doi.org/10.1111/ncn3.12351
Liu, Xia, Omote, Yoshio, Osakada, Yosuke, Tadokoro, Koh, Takemoto, Mami, Hishikawa, Nozomi, Yamashita, Toru, Ohta, Yasuyuki, and Abe, Koji. Mon . "LGI1 antibody‐associated limbic encephalitis started from unilateral basal ganglia to medial temporal lobe and insula". Country unknown/Code not available. https://doi.org/10.1111/ncn3.12351.
@article{osti_1577905,
title = {LGI1 antibody‐associated limbic encephalitis started from unilateral basal ganglia to medial temporal lobe and insula},
author = {Liu, Xia and Omote, Yoshio and Osakada, Yosuke and Tadokoro, Koh and Takemoto, Mami and Hishikawa, Nozomi and Yamashita, Toru and Ohta, Yasuyuki and Abe, Koji},
abstractNote = {Abstract Leucine‐rich glioma‐inactivated 1 (LGI1) antibody‐associated limbic encephalitis is a rare autoimmune encephalitis. Here, we report a 39‐year‐old woman presented with generalized tonic‐clonic seizures, night delirium, bilateral upper limb tremor, and hyponatremia. Her symptoms did not improve with initial steroid therapy, and brain magnetic resonance imaging (MRI) showed a progression of abnormalities from right basal ganglia to medial temporal lobe and insula. The presence of LGI1 antibodies in the patient's serum confirmed the clinical diagnosis. After the combined treatments of methylprednisolone, plasma exchange, and intravenous immunoglobulin, her clinical symptoms resolved completely.},
doi = {10.1111/ncn3.12351},
journal = {Neurology and Clinical Neuroscience},
number = 2,
volume = 8,
place = {Country unknown/Code not available},
year = {Mon Dec 09 00:00:00 EST 2019},
month = {Mon Dec 09 00:00:00 EST 2019}
}

Works referenced in this record:

Encephalitis and antibodies to synaptic and neuronal cell surface proteins
journal, July 2011


Mutations in the LGI1/Epitempin gene on 10q24 cause autosomal dominant lateral temporal epilepsy
journal, May 2002


Faciobrachial dystonic seizures precede Lgi1 antibody limbic encephalitis
journal, March 2011

  • Irani, Sarosh R.; Michell, Andrew W.; Lang, Bethan
  • Annals of Neurology, Vol. 69, Issue 5
  • DOI: 10.1002/ana.22307

Clinical features of limbic encephalitis with LGI1 antibody
journal, January 2017

  • Wang, Meiling; Cao, Xiaoyu; Liu, Qingxin
  • Neuropsychiatric Disease and Treatment, Vol. Volume 13
  • DOI: 10.2147/NDT.S136723

Jerking & confused: Leucine-rich glioma inactivated 1 receptor encephalitis
journal, December 2015


Anti-leucine-rich glioma-inactivated 1 limbic encephalitis: A case report and literature review
journal, November 2015

  • Liu, Jingyao; Li, Min; Li, Guibo
  • Experimental and Therapeutic Medicine, Vol. 11, Issue 1
  • DOI: 10.3892/etm.2015.2866

The Treatment and Follow-Up of Anti-LGI1 Limbic Encephalitis
journal, December 2015

  • Yu, Jinbei; Yu, Xuefan; Fang, Shaokuan
  • European Neurology, Vol. 75, Issue 1-2
  • DOI: 10.1159/000441944

Autoantibodies associated with diseases of the CNS: new developments and future challenges
journal, August 2011