[Leucine-rich glioma inactivated-1 protein antibody associated limbic encephalitis: one case report]

Beijing Da Xue Xue Bao Yi Xue Ban. 2014 Aug 18;46(4):646-9.
[Article in Chinese]

Abstract

Objective: To report a case of leucine-rich glioma inactivated-1 protein antibody (LGI1-Ab) associated limbic encephalitis.

Methods: A 76-year-old woman was admitted to the hospital because of cognitive impairment and faciobrachial dystonic seizures for six months. Hyponatremia was also noted in this patient. Antibodies to the LGI1 were positive.(18)F-FDG uptake was measured on the PET-CT scans of this patient.

Results: PET-CT showed bilateral putamen hypermetabolism with hypometabolism in other regions. Her symptoms were improved after intravenous immunoglobulin therapy.

Conclusion: LGI1-Ab associated encephalitis can manifest as basal ganglia hypermetabolism and faciobrachial dystonic seizures.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Antibodies / blood*
  • Cognition Disorders / etiology
  • Female
  • Glioma
  • Humans
  • Intracellular Signaling Peptides and Proteins
  • Limbic Encephalitis / complications
  • Limbic Encephalitis / immunology*
  • Proteins / immunology*
  • Seizures / etiology

Substances

  • Antibodies
  • Intracellular Signaling Peptides and Proteins
  • LGI1 protein, human
  • Proteins