Table 1.
Frequency of epileptic activity in EEG and clinical seizures in AIE according to triggering autoantibody and associated seizure manifestation (modified from [226], with permission)
Frequency of seizures (%) | Incidence of limbic encephalitis | Autoantibody and IgG subclass | Distinct seizure manifestation |
---|---|---|---|
85–100 | High | Anti-GABAB-IgG1 | |
85–100 | High | Anti-GAD-IgG | |
60–100 | Low-moderate | Anti-Hu-IgG1,3 [227, 228] | |
50–100 | High | Anti-GABAA(1/2)-IgG1>3 | Status epilepticus [70] |
40–100 | Moderate-high | Anti-LGI1-IgG4 | Faciobrachial dystonic seizures [70] |
65–75 | High | Anti-NMDA1/2-IgG1 | |
50–100 | High | Anti-neurexin-3a-IgG | |
47 | Moderate | Anti-GABAA(b3/g2)-IgG1>3 | |
20–65 | Low-moderate | Anti-Caspr2-IgG4 | |
30–50 | Moderate | Anti-Glycin-IgG | |
30–40 | Low-moderate | Anti-Ma1/2-IgG | |
33 | Moderate | Anti-AMPA-IgG1 | |
10–30 | Low-moderate | Anti-VGKC-IgG4 | |
15–25 | Low | Anti-DPPX-IgG4 [70] | |
20 | Low | Anti-mGluR5-IgG1 [70] | |
10–20 | Low | Anti-amphiphysin-IgG | |
15 | Low-moderate | Anti-MOG-IgG | |
Rare | Low-moderate | Anti-CV2/CRMP5-IgG | |
Rare | Low | Anti-Sox1-IgG | |
Rare | Frequent | Anti-GFAP-IgG | |
Rare | Low | Anti-AQP4-IgG | |
Never reported | Low | Anti-Tr-IgG | |
Never reported | Low | Anti-Zic4-IgG | |
Never reported | Low | Anti-IgLON5-IgG4 [229, 230] | |
Never reported | Frequent | Anti-Adenylat-Kinase-5-IgG | |
Never reported | Low | Anti-ARHGAP26-IgG |
AIE autoimmune-encephalitis, AMPA alpha-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid, ARHGAP26 antibody against human Rho, GTPase activating protein 26, AQP4 Aquaporin-4, Caspr2 contactin-associated protein-2, CV2/CRMP5 Collapsin response-mediator protein-5, DPPX dipeptidyl-peptidase–like protein 6, EEG electroencephalogram GABA gamma aminobutyric acid, GAD glutamic acid decarboxylase, GFAP glial fibrillary acidic protein, Hu antineuronal nuclear antibody 1 ANNA1, IgG immunoglobulin G, LGI1 leucine-rich glioma-inactivated 1, mGluR5 metabotropic glutamate receptor 5, MOG myelin oligodendrocyte glycoprotein, NMDA N-methyl-D-aspartate, Sox Sry-like high mobility group box, VGKC voltage-gated potassium channel, Zic4 Zinc-finger protein 4