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안면상완근긴장발작으로 발현한 항LGI1항체 자가면역뇌염

Anti-LGI1 Antibody Autoimmune Encephalitis Which Manifests Faciobrachial Dystonic Seizure

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초록

Anti-LGI1 (leucine-rich glioma inactivated-1) antibody encephalitis is one of autoimmune encephalitis. We report a66-year-old man who presented with frequent, brief dystonic seizures which involve predominantly ipsilateral face andarm without cognitive impairment. Brain MRI showed normal finding. Serum and CSF tests revealed anti-LGI1antibody. His symptom was not relieved by antiepileptic drugs, but completely controlled after immunotherapy. Thiscase indicates that recognition of the brief, dystonic seizures should do tests for anti-LGI1 antibodies.

Abstract

Anti-LGI1 (leucine-rich glioma inactivated-1) antibody encephalitis is one of autoimmune encephalitis. We report a66-year-old man who presented with frequent, brief dystonic seizures which involve predominantly ipsilateral face andarm without cognitive impairment. Brain MRI showed normal finding. Serum and CSF tests revealed anti-LGI1antibody. His symptom was not relieved by antiepileptic drugs, but completely controlled after immunotherapy. Thiscase indicates that recognition of the brief, dystonic seizures should do tests for anti-LGI1 antibodies.

참고문헌 (10)

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  4. Irani SR, "Faciobrachial dystonic seizures precede LGI1 antibody limbic encephalitis", Ann Neurol, 69, pp.892~900 (2011)
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  7. Striano P, "Faciobrachial dystonic attacks: seizures or movement disorder?", Ann Neurol, 70, pp.179~180 (2011)
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  10. Kamaleshwaran KK, "18F-FDG PET", CT Findings in voltage-gated potassium channel limbic encephalitis, 2013, pp.38, 392~394

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