Table 2. Comparison between anti-NMDAR encephalitis patients with and without anti-NFM antibodies.
Anti-NFM (−) (n=38) | Anti-NFM (+) (n=7) | |
---|---|---|
Age at onset, years | 24 [2–64] | 20 [6–39] |
Pediatric onset | 13 (34) | 4 (57) |
Sex ratio (female:male) | 1:1 | 2.5:1 |
Onset symptoms | ||
Seizures | 10 (26) | 3 (43) |
Fever | 12 (32) | 3 (43) |
Psychiatric behavior | 22 (58) | 3 (43) |
Movement disorder | 3 (8) | 2 (29) |
Speech | 2 (5) | 1 (14) |
Orofacial | 0 (0) | 0 (0) |
Limb | 0 (0) | 1 (14) |
Diplopia | 1 (3) | 0 (0) |
Cognitive dysfunction | 5 (13) | 1 (14) |
Autonomic dysfunction | 0 (0) | 0 (0) |
MOG-IgG | 4 (11) | 2 (29) |
Systemic antibodies | 9 (24) | 0 (0) |
Concomitant autoimmunity | 1 (3) | 0 (0) |
CSF WBC (×106/L) | 11 [0–568] | 28 [6–91] |
CSF protein (g/L) | 0.26 [0.07–1.18] | 0.27 [0.11–1.57] |
Abnormal brain MRI findings | 24 (63) | 3 (43) |
Tumor | 7 (18) | 1 (14) |
mRS score at onset | 4 [1–5] | 3.5 [2–4] |
Follow-up duration, months | 1 [0–24] | 7 [1–32] |
mRS score at last visit | 2 [0–5] | 0 [0–2] |
Data are median [range] or n (%) values.
Concomitant autoimmunity, positive for anti-Sjögren's-syndrome-A antibody.
CSF: cerebrospinal fluid, IgG: immunoglobulin G, MOG: myelin oligodendrocyte glycoprotein, MRI: magnetic resonance imaging, mRS: modified Rankin Scale, NFM: medium neurofilament, NMDAR: N-methyl-D-aspartate receptor, WBC: white blood cell count.