Update on the diagnosis and management of autoimmune encephalitis

Clin Med (Lond). 2020 Jul;20(4):389-392. doi: 10.7861/clinmed.2020-0241.

Abstract

In recent years, autoimmunity has been increasingly recognised as an important cause of encephalitis. Many different antibodies are now known to target antigens on the neuronal surface, and some of these are associated with characteristic clinical presentations, although seronegative cases are also recognised. Autoimmune encephalitis may mimic other conditions, including primary psychiatric disorders, particularly early in the disease. Because early immune treatment of autoimmune encephalitis improves patient outcomes, and indeed many make a good recovery, it is important to recognise these syndromes promptly.

Keywords: NMDA-R encephalitis; Neuroimmunology; autoimmunity; encephalitis; limbic encephalitis.

MeSH terms

  • Autoantibodies
  • Encephalitis* / diagnosis
  • Encephalitis* / therapy
  • Hashimoto Disease* / diagnosis
  • Hashimoto Disease* / therapy
  • Humans
  • Mental Disorders*

Substances

  • Autoantibodies

Supplementary concepts

  • Hashimoto's encephalitis