Treatment of VGKC complex antibody-associated limbic encephalitis: a systematic review

Guirindhra Koumar Radja, Andrea Eugenio Cavanna

Research output: Contribution to journalReview articlepeer-review

21 Citations (Scopus)

Abstract

Limbic encephalitis is an autoimmune neuropsychiatric condition characterized by subacute cognitive symptoms, seizures, and affective changes. Although limbic encephalitis is usually caused by an immune reaction secondary to neoplasms, different types of potentially treatable non-paraneoplastic limbic encephalitis (nPLE) have recently been described. In particular, published studies have reported variable responses to immunosuppressive therapy in Voltage-Gated Potassium Channel (VGKC) complex antibody-associated nPLE. This systematic literature review found that the most significant improvements were reported by patients presenting with affective symptoms and consistent neuroradiological changes. In these patients, improved clinical outcomes correlated with the largest decreases in antibody titers.

Original languageEnglish
Pages (from-to)264-71
Number of pages8
JournalJournal of Neuropsychiatry
Volume25
Issue number4
DOIs
Publication statusPublished - 2013

Keywords

  • Autoantibodies/blood
  • Autoimmune Diseases/blood
  • Humans
  • Immunoglobulins, Intravenous/therapeutic use
  • Limbic Encephalitis/blood
  • Neuropsychological Tests
  • Plasma Exchange
  • Potassium Channels, Voltage-Gated/immunology
  • Steroids/therapeutic use

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