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Excellent outcome after prolonged status epilepticus due to non-paraneoplastic limbic encephalitis.

Journal article
Authors Daniel Kondziella
Oluf Andersen
Fredrik Asztely
Björn Holmberg
Anders Hedström
Eva Szentgyörgyi
Published in Acta neurologica Belgica
Volume 108
Issue 1
Pages 21-3
ISSN 0300-9009
Publication year 2008
Published at
Pages 21-3
Language en
Keywords Adult, Amnesia, etiology, Anticonvulsants, therapeutic use, Autoantibodies, blood, Autoimmune Diseases of the Nervous System, diagnosis, immunology, physiopathology, Chronic Disease, Diagnosis, Differential, Epilepsy, Temporal Lobe, etiology, physiopathology, therapy, Female, Hippocampus, immunology, pathology, physiopathology, Humans, Limbic Encephalitis, complications, diagnosis, physiopathology, therapy, Magnetic Resonance Imaging, Methylprednisolone, therapeutic use, Personality Disorders, etiology, Plasmapheresis, Status Epilepticus, etiology, physiopathology, therapy, Treatment Outcome
Subject categories Physiology

Abstract

Limbic encephalitis (LE) is frequently associated with malignancy. Non-paraneoplastic LE is less common and in this form, voltage-gated potassium channel (VGKC) antibodies are usually found. However in 2007 the spectrum was further extended by a report on four patients with presumed non-paraneoplastic LE in whom neither VGKC-antibodies nor other antibodies could be found (Samarasekera et al. 2007). Despite immunmodulatory treatment all these patients had severe neurological residual symptoms. Here we describe a further patient in whom extensive diagnostic procedures suggested non-paraneoplastic antibody-negative limbic encephalitis. Although this woman had prolonged status epilepticus during seven weeks, her outcome was excellent.

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