Harrower T, Foltynie T, Kartsounis L, De Silva RN, Hodges JR. A case of voltage-gated potassium channel antibody-related limbic encephalitis.
ACTA ACUST UNITED AC 2006;
2:339-43; quiz following 343. [PMID:
16932578 DOI:
10.1038/ncpneuro0194]
[Citation(s) in RCA: 14] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2005] [Accepted: 03/23/2006] [Indexed: 11/09/2022]
Abstract
BACKGROUND
A 56-year-old man presented to hospital with a 6-month history of recurrent episodes of altered behavior and 'odd' episodes. He had become apathetic and uninterested in his family. He had no relevant past medical or family history. General and physical neurological examinations were unremarkable, as was bedside cognitive testing.
INVESTIGATIONS
Brain MRI scan, 24-h electroencephalogram, serum and cerebrospinal fluid testing for voltage-gated potassium channel antibodies, blood screening for tumors, CT scans of the chest, abdomen and pelvis, whole-body PET scan, neuropsychological examination, brain 18F-fluorodeoxyglucose-PET scan.
DIAGNOSIS
Voltage-gated potassium channel antibody-related limbic encephalitis.
MANAGEMENT
Antiepileptic drugs, immunomodulatory therapy, oral steroids, plasma exchange.
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