Article Figures & Data
Figures
- Figure 1
- Brain magnetic resonance imaging (MRI) demonstrating abnormal bilateral hippocampal volume loss more pronounced on the right side.
- Figure 2
- Interictal EEG showing diffuse slowing with a delta brush, a pattern characteristic of autoimmune encephalopathy associated with Anti-NMDA antibody.
Tables
Patient/Sex/Age Initial symptom EEG abnormalities MRI finding CSF abnormality Autoantibody profile Immune therapy 1/24/F Generalized tonic-clonic seizure Multiple independent bitemporal sharp waves, maximum left temporal and left frontal waves. bilateral mesial temporal sclerosis Positive oligoclonal band. GAD65 Steroid, Rituximab 2/19/F Psychiatric symptoms, Status epilepticus after an acute febrile illness Diffuse slowing with delta brush unremarkable High protein level NMDAR Steroid, plasma exchange, IVIG, Rituximab. 3/53/F Musicogenic Seizure Intermittent rhythmic sharp wave bitemporal area, maximum right. unremarkable Normal GAD65 Steroid, IVIG, Rituximab. 4/38/F Cognitive dysfunction, focal and generalized seizure Independent bitemporal epileptiform discharges Right mesial temporal sclerosis High protein level GAD65 Rituximab. 5/35/F Generalized tonic-clonic seizure Independent bitemporal sharp waves unremarkable Normal NMDAR Adalimumab, Azathioprine.
