Table 1. Cases of MOG-IgG–Associated Seizures Identified on Literature Reviewa.
Source | No. of Patients | Age, y/Sex | Ethnicity | Other Antibodies | Type of Seizure | Clinical Syndrome | Cognitive Changes | Disease Course | T2/FLAIR MRI Brain Changes and Location |
---|---|---|---|---|---|---|---|---|---|
Hino-Fukuyo et al, 2015 | 3 | 12/M; 14/M; 5/M | Japanese | None | NA | ADEM | NA | Monophasic; relapsing; monophasic | Multiple WM, L basal ganglia and bilateral thalami (1 mo after onset); multiple WM, bilateral; basal ganglia (at third attack); unknown |
Tsuburaya et al, 2015 | 1 | 7/M | Japanese | None | Partial (eye deviation and L arm clonic seizures) | ADEM, ON | No | Relapsing | Plaque involving subcortical WM in the R frontal lobe |
Ramberger et al, 2015 | 22b | NA | NA | None | NA | ADEM | NA | NA | NA |
Titulaer et al, 2014 | 1 | 4/F | Hispanic | NMDAR | NA | Seizures, hemiparesis; later: mutism, chorea, and orofacial dyskinesia | Yes | Relapsing | Periventricular, basal ganglia, cerebellum, and pons |
Ogawa et al, 2017 | 4 | 39/M; 36/M; 23/M; 38/M | Japanese? | None | GTC; GTC; GTC+ focal; GTC | Encephalopathy, ON; seizure, ON; encephalopathy; seizure, aphasia, and R hemiparesis | Yes; during seizure; yes; during seizure | All monophasic | R frontoparietal cortex; L hemisphere cortex |
Fujimori et al, 2017 | 1 | 46/M | Japanese | None | Focal progressed to secondary generalized | Encephalopathy, paraplegia | Yes | Relapsing | Bilateral frontal cortex, corpus callosum |
Abbreviations: ADEM, acute disseminated encephalomyelitis; BG, basal ganglia; CBA, cell-based assay; F, female; FLAIR, fluid-attenuated inversion recovery; GTC, generalized tonic-clonic; L, left; M, male; MOG, myelin oligodendrocyte glycoprotein; MRI, magnetic resonance imaging; NA, not available; NMDAR, N-methyl-d-aspartate receptor; R, right; ON, optic neuritis; WM, white matter.
All studies used a cell-based assay for MOG antibody testing.
Represents patients who presented with 1 or a combination of cognitive impairments or seizures. It is unclear how many of these patients had seizures.