Corticospinal tract hyperintensity in patients with LGI1-antibody encephalitis and other central nervous system disorders with neuroglial antibodies

The frequency of corticospinal tract (CST) T2/FLAIR hyperintensity in disorders with neuroglial antibodies is unclear. Herein, we retrospectively reviewed brain MRIs of 101 LGI1-antibody encephalitis patients, and observed CST hyperintensity in 30/101 (30%). It was mostly bilateral (93%), not associ...

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Veröffentlicht in:Journal of Neuroimmunology 2024-05, Vol.390, p.578346, Article 578346
Hauptverfasser: Campetella, Lucia, Villagrán-García, Macarena, Farina, Antonio, Benaiteau, Marie, Iorio, Raffaele, Calabresi, Paolo, Vogrig, Alberto, Versace, Salvatore, Ciano-Petersen, Nicolás Lundahl, Bicilli Brotelle, Elodie, Branger, Pierre, Verlut, Clotilde, Langner-Lemercier, Sophie, Leclancher, Alexandre, Duwicquet, Coline, Charif, Mahmoud, Kerschen, Philippe, Capet, Nicolas, Renard, Dimitri, Chanson, Eve, Rafiq, Marie, Tyvaert, Louise, Joubert, Bastien, Cotton, François, Honnorat, Jérôme, Muñiz-Castrillo, Sergio
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container_title Journal of Neuroimmunology
container_volume 390
creator Campetella, Lucia
Villagrán-García, Macarena
Farina, Antonio
Benaiteau, Marie
Iorio, Raffaele
Calabresi, Paolo
Vogrig, Alberto
Versace, Salvatore
Ciano-Petersen, Nicolás Lundahl
Bicilli Brotelle, Elodie
Branger, Pierre
Verlut, Clotilde
Langner-Lemercier, Sophie
Leclancher, Alexandre
Duwicquet, Coline
Charif, Mahmoud
Kerschen, Philippe
Capet, Nicolas
Renard, Dimitri
Chanson, Eve
Rafiq, Marie
Tyvaert, Louise
Joubert, Bastien
Cotton, François
Honnorat, Jérôme
Muñiz-Castrillo, Sergio
description The frequency of corticospinal tract (CST) T2/FLAIR hyperintensity in disorders with neuroglial antibodies is unclear. Herein, we retrospectively reviewed brain MRIs of 101 LGI1-antibody encephalitis patients, and observed CST hyperintensity in 30/101 (30%). It was mostly bilateral (93%), not associated with upper motor neuron signs/symptoms (7%), and frequently decreased over time (39%). In a systematic review including patients with other neuroglial antibodies, CST hyperintensity was reported in 110 with neuromyelitis optica (94%), myelin oligodendrocyte glycoprotein-associated disease (2%), Ma2-antibody (3%) and GAD65-antibody paraneoplastic neurological syndrome (1%). CST hyperintensity is not an infrequent finding in LGI1-Ab encephalitis and other disorders with neuroglial antibodies. [Display omitted] •Brain MRI corticospinal tract hyperintensity elicits a broad differential diagnosis.•Its overall frequency in brain disorders with neuroglial antibodies is unclear.•It is present in 30% among 101 patients with LGI1-antibody encephalitis.•In the literature it is reported in 110 patients with diverse neuroglial antibodies.•Corticospinal tract hyperintensity is not rare in autoimmune brain disorders.
doi_str_mv 10.1016/j.jneuroim.2024.578346
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Herein, we retrospectively reviewed brain MRIs of 101 LGI1-antibody encephalitis patients, and observed CST hyperintensity in 30/101 (30%). It was mostly bilateral (93%), not associated with upper motor neuron signs/symptoms (7%), and frequently decreased over time (39%). In a systematic review including patients with other neuroglial antibodies, CST hyperintensity was reported in 110 with neuromyelitis optica (94%), myelin oligodendrocyte glycoprotein-associated disease (2%), Ma2-antibody (3%) and GAD65-antibody paraneoplastic neurological syndrome (1%). CST hyperintensity is not an infrequent finding in LGI1-Ab encephalitis and other disorders with neuroglial antibodies. [Display omitted] •Brain MRI corticospinal tract hyperintensity elicits a broad differential diagnosis.•Its overall frequency in brain disorders with neuroglial antibodies is unclear.•It is present in 30% among 101 patients with LGI1-antibody encephalitis.•In the literature it is reported in 110 patients with diverse neuroglial antibodies.•Corticospinal tract hyperintensity is not rare in autoimmune brain disorders.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>38648696</pmid><doi>10.1016/j.jneuroim.2024.578346</doi><orcidid>https://orcid.org/0000-0003-0046-2478</orcidid></addata></record>
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subjects Autoimmune encephalitis
Corticospinal tracts
Inflammatory diseases
LGI1
Life Sciences
title Corticospinal tract hyperintensity in patients with LGI1-antibody encephalitis and other central nervous system disorders with neuroglial antibodies
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