Table 1:
MOTOR FUNCTION | mRS NEOS CASE† Biofluid and Neuroimaging biomarkers |
Neurology; PMR, OT/PT | Rehabilitation services |
COGNITION | MoCA Neuropsychological testing CSF biomarkers |
Neurology Psychiatry Neuropsychology |
Cognitive rehabilitation |
PSYCHOSIS, DEPRESSION, ANXIETY | PHQ-9 GAD-7 |
Neurology Psychiatry Neuropsychology |
CBT psychotropic medications |
FATIGUE | FSMC MFIS |
Neurology Psychiatry PMR, OT/PT Family Medicine |
Cognitive rehabilitation |
SLEEP | ESS; PSQI polysomnography | Sleep Medicine | Pharmacologic approach; Behavioral therapy |
SEIZURES | EEG | Epilepsy specialist | Anticonvulsant therapies |
An AE severity scale that assesses 9-items (seizure, memory dysfunction, psychiatric symptoms, consciousness, language problems, dyskinesia/dystonia, gait instability and ataxia, brainstem dysfunction, and motor weakness) on a 3-point scale, yielding a total CASE score of 0-27 points.(64)
AME = Antibody-Mediated Encephalitis; mRS = modified Rankin Scale; NEOS = anti-NMDAR Encephalitis one-Year Functional Status score; CASE = Clinical Assessment of Scale in Autoimmune Encephalitis score; PMR = Physical Medicine & Rehabilitation; OT = Occupational Therapy; PT = Physical Therapy; EEG = electroencephalogram; MoCA = Montreal Cognitive Assessment; CSF = cerebrospinal fluid; PHQ-9 = Patient Health Questionnaire-9; GAD-7 = General Anxiety Disorder-7; CBT = Cognitive-behavioral therapy; FSMC = Fatigue Scale for Motor and Cognitive Function; MFIS = Modified Fatigue Impact Scale; ESS = Epworth Sleepiness Scale; PSQI = Pittsburgh Sleep Quality Index