A review of EEG in anti-NMDA receptor encephalitis

Brin Freund, Eva Katharina Ritzl

Research output: Contribution to journalReview article

Abstract

Anti-N-methyl-D-aspartate receptor encephalitis (anti-NMDARE) is common among autoimmune encephalitides (AE) and can present with protean features and nonspecific laboratory and neuroimaging results. Antibody testing is specific, but results are often delayed, and prompt diagnosis and treatment is vital given associated morbidity and mortality. Electroencephalography (EEG) may be a useful tool given ease of performance and short turn-around time for results. As such, we performed a systematic review of the literature on anti-NMDARE and EEG characteristics. We found that EEG is often pathologic in anti-NMDAR encephalitis, though at times nonspecific. A stronger focus on common EEG features in patient with this type of encephalitis and an effort to identify when these features are present in the course of the disease may allow for improved diagnosis, description and differentiation of anti-NMDARE.

Original languageEnglish (US)
Pages (from-to)64-68
Number of pages5
JournalJournal of Neuroimmunology
Volume332
DOIs
StatePublished - Jul 15 2019

Fingerprint

Anti-N-Methyl-D-Aspartate Receptor Encephalitis
Electroencephalography
Delayed Diagnosis
Encephalitis
Neuroimaging
Morbidity
Mortality
Antibodies

Keywords

  • Anti-nmda receptor encephalitis
  • EEG
  • Electroencephalography
  • Encephalitis
  • Limbic encephalitis

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Neurology
  • Clinical Neurology

Cite this

A review of EEG in anti-NMDA receptor encephalitis. / Freund, Brin; Ritzl, Eva Katharina.

In: Journal of Neuroimmunology, Vol. 332, 15.07.2019, p. 64-68.

Research output: Contribution to journalReview article

@article{7179a6fa0b3a48ee9fa02ed03b0d5261,
title = "A review of EEG in anti-NMDA receptor encephalitis",
abstract = "Anti-N-methyl-D-aspartate receptor encephalitis (anti-NMDARE) is common among autoimmune encephalitides (AE) and can present with protean features and nonspecific laboratory and neuroimaging results. Antibody testing is specific, but results are often delayed, and prompt diagnosis and treatment is vital given associated morbidity and mortality. Electroencephalography (EEG) may be a useful tool given ease of performance and short turn-around time for results. As such, we performed a systematic review of the literature on anti-NMDARE and EEG characteristics. We found that EEG is often pathologic in anti-NMDAR encephalitis, though at times nonspecific. A stronger focus on common EEG features in patient with this type of encephalitis and an effort to identify when these features are present in the course of the disease may allow for improved diagnosis, description and differentiation of anti-NMDARE.",
keywords = "Anti-nmda receptor encephalitis, EEG, Electroencephalography, Encephalitis, Limbic encephalitis",
author = "Brin Freund and Ritzl, {Eva Katharina}",
year = "2019",
month = "7",
day = "15",
doi = "10.1016/j.jneuroim.2019.03.010",
language = "English (US)",
volume = "332",
pages = "64--68",
journal = "Journal of Neuroimmunology",
issn = "0165-5728",
publisher = "Elsevier",

}

TY - JOUR

T1 - A review of EEG in anti-NMDA receptor encephalitis

AU - Freund, Brin

AU - Ritzl, Eva Katharina

PY - 2019/7/15

Y1 - 2019/7/15

N2 - Anti-N-methyl-D-aspartate receptor encephalitis (anti-NMDARE) is common among autoimmune encephalitides (AE) and can present with protean features and nonspecific laboratory and neuroimaging results. Antibody testing is specific, but results are often delayed, and prompt diagnosis and treatment is vital given associated morbidity and mortality. Electroencephalography (EEG) may be a useful tool given ease of performance and short turn-around time for results. As such, we performed a systematic review of the literature on anti-NMDARE and EEG characteristics. We found that EEG is often pathologic in anti-NMDAR encephalitis, though at times nonspecific. A stronger focus on common EEG features in patient with this type of encephalitis and an effort to identify when these features are present in the course of the disease may allow for improved diagnosis, description and differentiation of anti-NMDARE.

AB - Anti-N-methyl-D-aspartate receptor encephalitis (anti-NMDARE) is common among autoimmune encephalitides (AE) and can present with protean features and nonspecific laboratory and neuroimaging results. Antibody testing is specific, but results are often delayed, and prompt diagnosis and treatment is vital given associated morbidity and mortality. Electroencephalography (EEG) may be a useful tool given ease of performance and short turn-around time for results. As such, we performed a systematic review of the literature on anti-NMDARE and EEG characteristics. We found that EEG is often pathologic in anti-NMDAR encephalitis, though at times nonspecific. A stronger focus on common EEG features in patient with this type of encephalitis and an effort to identify when these features are present in the course of the disease may allow for improved diagnosis, description and differentiation of anti-NMDARE.

KW - Anti-nmda receptor encephalitis

KW - EEG

KW - Electroencephalography

KW - Encephalitis

KW - Limbic encephalitis

UR - http://www.scopus.com/inward/record.url?scp=85063758313&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85063758313&partnerID=8YFLogxK

U2 - 10.1016/j.jneuroim.2019.03.010

DO - 10.1016/j.jneuroim.2019.03.010

M3 - Review article

VL - 332

SP - 64

EP - 68

JO - Journal of Neuroimmunology

JF - Journal of Neuroimmunology

SN - 0165-5728

ER -