J Korean Neurol Assoc.  2014 Feb;32(1):22-25.

Anti-LGI1 Antibody Autoimmune Encephalitis Which Manifests Faciobrachial Dystonic Seizure

Affiliations
  • 1Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. jkkang@amc.seoul.kr
  • 2Department of Neurology, Seoul National University Hospital, Seoul, Korea.

Abstract

Anti-LGI1 (leucine-rich glioma inactivated-1) antibody encephalitis is one of autoimmune encephalitis. We report a 66-year-old man who presented with frequent, brief dystonic seizures which involve predominantly ipsilateral face and arm without cognitive impairment. Brain MRI showed normal finding. Serum and CSF tests revealed anti-LGI1 antibody. His symptom was not relieved by antiepileptic drugs, but completely controlled after immunotherapy. This case indicates that recognition of the brief, dystonic seizures should do tests for anti-LGI1 antibodies.

Keyword

Autoimmune encephalitis; LGI1; Voltage gated potassium channel

MeSH Terms

Aged
Antibodies
Anticonvulsants
Arm
Brain
Encephalitis*
Glioma
Humans
Immunotherapy
Magnetic Resonance Imaging
Potassium Channels, Voltage-Gated
Seizures*
Antibodies
Anticonvulsants
Potassium Channels, Voltage-Gated
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