Recent Advance of Neuronal Cell Antigens and Autoimmune Encephalitis

Ekladious A
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Abstract

Patients with autoimmune encephalitis rarely present to neurology clinic before presenting to memory, seizure, movement disorder, and psychiatry clinics, recent discovery of neuronal surface autoantibodies have shifted the balance towards the diagnosis of autoimmune encephalitis, patients with autoimmune encephalitis used to receive the diagnosis of infectious encephalitis, with poor response to antiseizure, antibacterial and antiviral therapy, autoimmune encephalitis has a fundamental phenotype which is very specific even if serology was negative, early diagnosis is of paramount importance due to starting immunotherapy and avoid mortality and significant morbidity.
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神经细胞抗原与自身免疫性脑炎的研究进展
自身免疫性脑炎患者在出现记忆、癫痫、运动障碍和精神病学之前很少出现在神经内科门诊,近年来神经元表面自身抗体的发现使自身免疫性脑炎的诊断天平向自身免疫性脑炎倾斜,自身免疫性脑炎患者过去常被诊断为感染性脑炎,对抗癫痫、抗菌和抗病毒治疗反应较差。自身免疫性脑炎具有非常特异性的基本表型,即使血清学阴性,由于开始免疫治疗,早期诊断至关重要,可以避免死亡率和显著发病率。
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