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. 2024 May 2;18:1379933. doi: 10.3389/fnins.2024.1379933

Table 2.

Details of patients with anti-DPPX encephalitis.

Patient number Patient 1 Patient 2 Patient 3 Patient 4 Patient 5 Patient 6 Patient 7 Patient 8 Patient 9 Patient 10 Patient 11 Patient 12 Patient 13 Patient 14
Sex Female Female Male Male Male Male Female Male Female Female Male Male Male Male
Age (years) 11 60 62 54 58 51 62 39 38 22 30 72 36 48
Onset pattern Acute Acute Chronic Acute Acute Acute Acute Chronic Chronic Acute Subacute Acute Chronic Chronic
Initial symptoms Fever, hallucinations, dizziness, headache. Cognitive impairment Ataxia, dizziness Gastrointestinal symptoms Epilepsy, cognitive impairment Gastrointestinal symptoms Fever Auditory hallucinations Ataxia, dizziness Epilepsy Gastrointestinal symptoms Gastrointestinal symptoms Gastrointestinal symptoms Dizziness, ataxia
Primary symptoms Psychiatric and behavioral abnormalities Cognitive impairment, limb convulsions Cerebellar ataxia Ataxia, nystagmus Epilepsy, cognitive impairment Psychiatric and behavioral abnormalities, nausea, vomiting Cognitive impairment Psychiatric and behavioral abnormalities, cognitive impairment, auditory and visual hallucinations Sleep disturbance, dizziness, weight loss, myodystony consciousness disorder, epilepsy Psychiatric and behavioral abnormalities, delirium, myoclonus, hallucinations, cognitive impairment, weight loss, diarrhea Cognitive impairment, psychiatric and behavioral abnormalities, sleep disorders, hallucinations, abdominal pain, diarrhea Memory decline, bulbar syndrome, myoclonus, diarrhea Ataxia, nystagmus, weakness in the lower limbs, dizziness
Neoplasms, infections, and immune-related factors Upper respiratory tract infection Breast cancer (−) (−) (−) (−) Upper respiratory tract infection (−) HSV-1 (−) Ankylosing spondylitis
Rheumatoid arthritis
Inflammatory bowel disease
Upper respiratory tract infection (−) (−)
CSF testing Normal Protein: 91.8 mg/dL Protein: 57 mg/dL Normal Chloride: 133 mmol/L, OCB(+), IgG index:0.94 Normal Normal Normal Normal Normal Normal Glucose: 5.00 mmol/L,OCB(+), IgG index: 0.86 Normal Chloride: 139 mmol/L
DPPX antibodies in serum 1:100 1:32 1:100 1:10 1:320 NA 1:100 NA 1:320 1:100 (−) 1:100 1:100 1:32
DPPX antibodies in CSF (−) (−) 1:10 (−) 1:100 1:10 (−) 1:1 1:32 (−) 1:32 1:32 (−) 1:1
Other positive autoimmune antibodies (−) (−) (−) (−) (−) (−) (−) (−) (−) (−) Anti-CASPR2 antibody, 1:10 in CSF (−) Anti-NMDAR antibody, 1:32 in serum (−)
MRI Normal Abnormal swelling and enhancement signals in the cortical areas of the left temporal lobe and parieto-occipital lobe. Normal Normal Normal Normal Bilateral frontal and parietal white matter, bilateral basal ganglia: Multiple small hyperintense lesions Normal Cerebellar atrophy Hippocampal swelling Normal Mild atrophy of the left hippocampus Normal Cerebellar atrophy

CSF, cerebrospinal fluid; MRI, magnetic resonance imaging.