論文

査読有り
2013年

[A case of smoldering anti-leucine-rich glioma-inactivated 1 (LGI1) antibody-associated limbic encephalitis with faciobrachial dystonic seizure].

Rinsho shinkeigaku = Clinical neurology
  • Yuriko Nakaoku
  • ,
  • Takakuni Maki
  • ,
  • Kyoko Kanazawa
  • ,
  • Riki Matsumoto
  • ,
  • Hidenao Fukuyama
  • ,
  • Ryosuke Takahashi
  • ,
  • Akio Ikeda

53
9
開始ページ
706
終了ページ
11
記述言語
日本語
掲載種別
研究論文(学術雑誌)
DOI
10.5692/clinicalneurol.53.706

We report a 59-year-old right-handed woman with smoldering leucine-rich glioma-inactivated 1 (LGI1) antibody-associated limbic encephalitis (LE) following faciobrachial dystonic seizures. During 8 months before her admission, she developed partial seizures manifesting very brief and very frequent dystonia in her right hand sometimes with oral automatism and loss of awareness. In addition, she showed psychiatric disturbances such as emotionally labile condition and personality changes. On admission, neuropsychological examination revealed short-term memory impairment. During electroencephalography (EEG) monitoring, ictal EEG showed rhythmic delta waves and interictal EEG showed intermittent irregular slow waves at the bilateral frontotemporal area. Brain MRI demonstrated high T2/FLAIR signal changes in the left amygdala expanding into the left hippocampus. FDG-PET showed hypermetabolism in the left amygdala, hippocampus and the bilateral basal ganglia. Cerebrospinal fluid analysis was unremarkable. There were no signs of malignant tumor detected on systemic examination. LGI1 antibody was positive in the serum and the cerebrospinal fluid and the clinical diagnosis of LGI1 antibody-associated LE was confirmed. Her symptoms and the abnormalities in the brain MRI/FDG-PET showed immediate improvement after anti-epileptic and steroid therapy.

リンク情報
DOI
https://doi.org/10.5692/clinicalneurol.53.706
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/24097318
Scopus
https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84884313030&origin=inward 本文へのリンクあり
Scopus Citedby
https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=84884313030&origin=inward
ID情報
  • DOI : 10.5692/clinicalneurol.53.706
  • ISSN : 0009-918X
  • eISSN : 1882-0654
  • PubMed ID : 24097318
  • SCOPUS ID : 84884313030

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