Utility of a Novel Clinical Triad (Chandrans TRIAD) for Early Diagnosis of Autoimmune Encephalitis (AIE) in Patients with Progressive Cognitive Decline

T. Issac
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Abstract

Autoimmune Encephalitis (AIE) often presents with cognitive and behavioural symptoms often mimickingprogressive degenerative dementias. Early identification of these potentially reversible conditions can improve patientoutcomes, reduce caregiver burden and promote cost effectiveness. The clinical trial of symptoms namely panicattacks, catatonia and day time sleepiness is often associated with anti N-methyl D-aspartate (NMDA) receptormediated encephalitis and the former two symptoms along with seizures is suggestive of anti-Voltage Gated PotassiumChannel (VGKC) receptor mediated encephalitis. This triad serves as a pragmatic tool to easily identify AIE and alsohelps to distinguish between the two conditions.
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一种新的临床三联征(Chandrans三联征)在进行性认知衰退患者自身免疫性脑炎(AIE)早期诊断中的应用
自身免疫性脑炎(AIE)通常表现为类似进行性退行性痴呆的认知和行为症状。及早发现这些潜在的可逆性疾病可以改善患者的预后,减轻护理人员的负担,并提高成本效益。临床试验表明,惊恐发作、紧张症和白天嗜睡通常与抗n -甲基d -天冬氨酸(NMDA)受体介导的脑炎有关,前两种症状与癫痫发作一起提示抗电压门控钾通道(VGKC)受体介导的脑炎。这是一个实用的工具,可以很容易地识别AIE,也有助于区分两种情况。
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