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.