Anti-Kelch-like protein 11 antibody encephalitis: a case report and literature review.

KLHL11 antibody autoimmune encephalitis case report cerebellar syndrome paraneoplastic neurological syndrome

Journal

Frontiers in neurology
ISSN: 1664-2295
Titre abrégé: Front Neurol
Pays: Switzerland
ID NLM: 101546899

Informations de publication

Date de publication:
2023
Historique:
received: 05 08 2023
accepted: 02 10 2023
medline: 13 11 2023
pubmed: 13 11 2023
entrez: 13 11 2023
Statut: epublish

Résumé

Anti-Kelch-like protein 11 (KLHL11) antibody encephalitis is a rare clinical condition characterized by autoimmune-mediated encephalomyelitis associated with the presence of KLHL11 antibodies. Diagnosis requires the detection of serum and cerebrospinal fluid anti-KLHL11 antibodies, while immunotherapy serves as the principal treatment approach. This paper presents a case report highlighting the emergence of anti-KLHL11 antibody encephalitis. A 66-year-old male patient presented with seizures, impaired cognitive function, disturbance of consciousness, apathy, hypologia, dysphoria, and ataxia. Serum and cerebrospinal fluid (CSF) were identified as positive for anti-KLHL11 antibodies, leading to a diagnosis of autoimmune encephalitis associated with KLHL11 antibodies. After treatment with glucocorticoid, the patient did not experience further convulsions and recovered consciousness, with improved cognitive function. Tumor screening suggested the presence of an underlying malignancy. The clinical manifestations of anti-KLHL11 antibody encephalitis vary widely, and timely identification and treatment can improve prognosis.

Identifiants

pubmed: 37954647
doi: 10.3389/fneur.2023.1273051
pmc: PMC10637383
doi:

Types de publication

Case Reports

Langues

eng

Pagination

1273051

Informations de copyright

Copyright © 2023 Song, Hu and Zhang.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Yanling Song (Y)

School of Clinical Medicine, Ningxia Medical University, Yinchuan, Ningxia, China.

Quanzhong Hu (Q)

Department of Neurology, Qinghai Provincial People's Hospital, Xining, Qinghai, China.

Qing Zhang (Q)

Department of Neurology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia, China.

Classifications MeSH