Table 1. Major paraneoplastic antineuronal antibodies reactive with neuronal membrane antigens.
Antibody | Common neurological
phenotypes |
Common associated
malignancies |
Frequency of
underlying malignancy |
Response to
treatment a |
---|---|---|---|---|
Anti-AMPAR | Limbic encephalitis | Breast
Lung Thymus |
Common | Good in many
but not all patients |
Anti-LGI1/Anti-
CASPR2 |
Limbic encephalitis
Faciobrachial dystonic seizures Morvan’s syndrome |
Thymoma (especially in patients
positive for both antibodies) Other neoplasms (rare) |
Usually poor | |
Anti-GABAbR | Limbic encephalitis,
status epilepticus |
Small-cell lung cancer | Common | Poor |
Anti-mGluR1 | Cerebellar degeneration | Hodgkin’s disease | Common | Good |
Anti-mGlur2 | Cerebellar degeneration | Small-cell cancer; alveolar
rhabdomyosarcoma |
Common | Variable |
Anti-mGluR5 | Limbic encephalitis | Hodgkin’s disease | Common | Good |
Anti-VGKC | Cerebellar degeneration
(Lambert–Eaton myasthenic syndrome) |
Small-cell lung cancer | Common | Good in some
patients |
Modified from 13. aTreatment involves both immunosuppressive treatment directed against the autoimmune process and treatment of the underlying malignancy.