Autoimmune cerebellar hypermetabolism: Report of three cases and literature overview.
Autoimmune encephalitis
Cerebellum
Hypermetabolism
Immune checkpoint inhibitor
Ma2
PET-scanner
Paraneoplastic
Zic4
Journal
Revue neurologique
ISSN: 0035-3787
Titre abrégé: Rev Neurol (Paris)
Pays: France
ID NLM: 2984779R
Informations de publication
Date de publication:
Apr 2022
Apr 2022
Historique:
received:
21
04
2021
revised:
19
07
2021
accepted:
23
07
2021
pubmed:
19
10
2021
medline:
17
5
2022
entrez:
18
10
2021
Statut:
ppublish
Résumé
We report three cases of vermian cerebellar hypermetabolism in patients with autoimmune encephalitis. One of our patients was positive for anti-Ma2 antibodies and one for anti-Zic4 antibodies while the remaining patient did not present any known antibodies. The seronegative patient deteriorated after immune checkpoint inhibitor treatment for a pulmonary adenocarcinoma and improved with immunosuppressive drugs, which is in favour of an underlying autoimmune mechanism. They all presented with subacute neurological symptoms. Brain magnetic resonance imaging was normal except in one patient, where hyperintensities were present on FLAIR sequence around the third ventricle and the cerebral aqueduct.
Identifiants
pubmed: 34657731
pii: S0035-3787(21)00701-3
doi: 10.1016/j.neurol.2021.07.018
pii:
doi:
Substances chimiques
Fluorodeoxyglucose F18
0Z5B2CJX4D
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
337-346Informations de copyright
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