Motor symptoms in nonparaneoplastic CNS disorders associated with neural antibodies.

Autoimmune encephalitis Autoimmunity Motor symptoms Movement disorders Neuronal antibodies

Journal

Handbook of clinical neurology
ISSN: 0072-9752
Titre abrégé: Handb Clin Neurol
Pays: Netherlands
ID NLM: 0166161

Informations de publication

Date de publication:
2023
Historique:
medline: 28 8 2023
pubmed: 25 8 2023
entrez: 24 8 2023
Statut: ppublish

Résumé

Motor symptoms are common, and sometimes predominant, in almost all nonparaneoplastic CNS disorders associated with neural antibodies. These CNS disorders can be classified into five groups: (1) Autoimmune encephalitis with antibodies against synaptic receptors, (2) cerebellar ataxias associated with neuronal antibodies that mostly target intracellular antigens. (3) Stiff-person syndrome and progressive encephalomyelitis with rigidity and myoclonus which have antibodies against glutamic acid decarboxylase and glycine receptor, respectively. Both diseases have in common the presence of predominant muscle stiffness and rigidity. (4) Three diseases associated with glial antibodies. Two present motor symptoms mainly due to the involvement of the spinal cord: neuromyelitis optica spectrum disorders with aquaporin-4 antibodies and myelin oligodendrocyte glycoprotein antibody-associated disease. The third disorder is the meningoencephalitis associated with glial fibrillar acidic protein antibodies which frequently also presents a myelopathy. (5) Two antibody-related diseases which are characterized by prominent sleep dysfunction: anti-IgLON5 disease, a disorder that frequently presents a variety of movement disorders, and Morvan syndrome associated with contactin-associated protein-like 2 antibodies and clinical manifestations of peripheral nerve hyperexcitability. In this chapter, we describe the main clinical features of these five groups with particular emphasis on the presence, frequency, and types of motor symptoms.

Identifiants

pubmed: 37620074
pii: B978-0-323-98817-9.00004-1
doi: 10.1016/B978-0-323-98817-9.00004-1
pii:
doi:

Substances chimiques

Autoantibodies 0

Types de publication

Review Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

277-294

Informations de copyright

Copyright © 2023 Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Author disclosures Dr. Graus holds a patent licensed to Euroimmun for the use of IgLON5 in an autoantibody test, for which he receives royalties. He receives honoraria for consultancy work for Lundbeck and from MedLink Neurology for his role as associate editor. Dr. Gaig has received honoraria for consultancy for Bioprojet and Symposium honoraria for Bioprojet, UCB, and Jazz Pharma.

Auteurs

Carles Gaig (C)

Neurology Service, Hospital Clínic of Barcelona, Barcelona, Spain.

Francesc Graus (F)

Neuroimmunology Program, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Barcelona, Spain. Electronic address: francesc.graus@idibaps.org.

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Classifications MeSH