Conjoint glutamic acid decarboxylase 65 and P/Q voltage gated calcium channel antibodies in autoimmune epilepsy: A case report

Mohamed AlKhaja , Ammar AlKawi , Mahmoud Abu-Ata , Asma Mohammaddin
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Abstract

Numerous autoantibodies are implicated in the pathogenesis of autoimmune epilepsy. In the past decade, many case series reported the association of glutamic acid decarboxylase 65 (GAD 65) antibodies with epilepsy. Conjoint presence of GAD 65 antibodies with antinuclear, anti-thyroid, and anti-parietal cell antibodies has often been demonstrated. However, concomitant elevated levels of GAD 65 and P/Q voltage gated calcium channel (VGCC) antibodies is rare. We report a case of autoimmune epilepsy with conjoint GAD 65 and P/Q VGCC antibodies in the absence of malignancy. This report highlights a possible role of P/Q VGCC antibodies in the pathogenesis of autoimmune epilepsy.

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谷氨酸脱羧酶65和P/Q电压门控钙通道抗体联合治疗自身免疫性癫痫1例报告
许多自身抗体与自身免疫性癫痫的发病机制有关。在过去的十年中,许多病例系列报道了谷氨酸脱羧酶65 (GAD 65)抗体与癫痫的关联。gad65抗体常与抗核、抗甲状腺和抗壁细胞抗体联合存在。然而,伴随GAD 65和P/Q电压门控钙通道(VGCC)抗体水平升高的情况很少见。我们报告一例自身免疫性癫痫与GAD 65和P/Q VGCC联合抗体在没有恶性肿瘤。本报告强调了P/Q VGCC抗体在自身免疫性癫痫发病机制中的可能作用。
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