EEG-Delta brushes in DPPX encephalitis – Welcome to the club

IF 2 Q3 NEUROSCIENCES Clinical Neurophysiology Practice Pub Date : 2023-01-01 DOI:10.1016/j.cnp.2022.11.003
Christine Heuer , Leah Disse , Debora Ledergerber , Ilijas Jelcic , Lukas L. Imbach
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Abstract

Background

Extreme Delta Brushes are a rare interictal EEG pattern that was first described in NMDA-R encephalitis and has been considered a pathognomonic pattern for this subtype of autoimmune encephalitis. Recently, extreme delta brushes have been described as a rare EEG phenomenon in other forms of encephalitis.

Case report

We describe to our knowledge the first occurrence of EEG Delta brushes in DPPX encephalitis. In this article, we present a comprehensive case report and discuss clinical differential diagnosis with special emphasis on the diagnostic value of the EEG, leading the way to the correct diagnosis. We also present current diagnostic criteria and clinical screening scales for initial evaluation for patients with suspected autoimmune encephalitis.

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脑电图-三角洲刷在DPPX脑炎-欢迎加入俱乐部
背景极端德尔塔刷是一种罕见的发作间期脑电图模式,首次在NMDA-R脑炎中描述,并被认为是该亚型自身免疫性脑炎的一种病理特征模式。最近,在其他形式的脑炎中,极端德尔塔刷被描述为一种罕见的脑电图现象。病例报告据我们所知,我们描述了DPPX脑炎中首次出现脑电图三角刷。在这篇文章中,我们提出了一个全面的病例报告,并讨论了临床鉴别诊断,特别强调脑电图的诊断价值,为正确诊断指明了道路。我们还介绍了目前的诊断标准和临床筛查量表,用于对疑似自身免疫性脑炎患者进行初步评估。
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来源期刊
CiteScore
3.90
自引率
0.00%
发文量
47
审稿时长
71 days
期刊介绍: Clinical Neurophysiology Practice (CNP) is a new Open Access journal that focuses on clinical practice issues in clinical neurophysiology including relevant new research, case reports or clinical series, normal values and didactic reviews. It is an official journal of the International Federation of Clinical Neurophysiology and complements Clinical Neurophysiology which focuses on innovative research in the specialty. It has a role in supporting established clinical practice, and an educational role for trainees, technicians and practitioners.
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