Table 4. Classification and management of ICI related encephalitis.
Severity | Representation | Management |
---|---|---|
G1 | Mild symptoms not limiting daily life | ICI treatment be maintained and the diagnostic process started. If there is no improvement or symptom deterioration, ICIs should be stopped permanently |
G2 | New moderate or severe neurological signs or symptoms | ICI treatment can be maintained temporarily, but symptoms and signs should be closely monitored. Antiviral drugs or antibiotics may empirically use as prevention |
G3–G4 | Severe limitations in daily life activities or life threatening or encephalitis with psycho-behavioral abnormalities | ICIs should be permanently stopped, and high-dose glucocorticoids (0.5–1 mg/kg/d) should be given if there is no infection |
ICI, immune checkpoint inhibitor.